NPI 1417350414

Billy Tatum

Practitioner Rehabilitation Practitioner Chicago, IL

Practice location

Address: 1436 W. Randolph 5th Floor, Chicago, IL 60607
Phone: (312) 226-8720
Fax: (312) 226-8722
Mailing address: 1436 W Randolph St 5th Floor, Chicago, IL 60607-1405

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1417350414
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2014
Record last updated: 3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.