BILLY TATUM (NPI# 1417350414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417350414 |
Entity Type | Individual |
Full Name | BILLY TATUM |
Practice Address |
1436 W. Randolph 5th Floor Chicago IL 60607 |
Mailing Address |
1436 W Randolph St 5th Floor Chicago IL 60607-1405 |
Practice Telephone | 3122268720 |
Practice Fax Number | 3122268722 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1436 W. RANDOLPH 5TH FLOOR |
City | CHICAGO |
State | IL |
Zip Code | 60607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
Find all providers in zip 60607 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396133609 | Benedict Chang | Rehabilitation Practitioner | 5610 N Mango Ave, Chicago, IL 60646-6306 | 2015-01-08 |
1417261538 | Gina Graff | Rehabilitation Practitioner | 1000 N Lasalle St, Apt 518, Chicago, IL 60610-2676 | 2010-07-30 |
1306010889 | Sally Katsaggelos | Rehabilitation Practitioner | 5857 S. Maryland Ave., Mc 9020, Chicago, IL 60637-1470 | 2008-04-16 |
1083818470 | Gesher Hatorah Day School | Rehabilitation Practitioner | 6350 N Whipple St, Chicago, IL 60659-1420 | 2007-06-12 |
1851415608 | Christine Mary Sedlack | Rehabilitation Practitioner | East 65th Street At Lake Michigan, Chicago, IL 60649-1395 | 2007-03-19 |
1205997400 | Gina Mottier | Rehabilitation Practitioner | 3223 N Harlem Ave, Chicago, IL 60634-4502 | 2006-12-12 |
1962512020 | Nikol Ann Margiotta | Rehabilitation Practitioner | 4337 W Irving Pk Rd, Chicago, IL 60641 | 2006-08-30 |
1629020128 | Brandon Barksdale | Rehabilitation Practitioner | 129 W 108th St, Chicago, IL 60628-3452 | 2006-05-16 |
1225495484 | Hannah Elaine Berkenstock | Rehabilitation Practitioner | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2016-01-19 |
1841411741 | Noel Castelino Sc | Rehabilitation Practitioner | 6374 N Lincoln Ave, Chicago, IL 60659-1275 | 2007-05-01 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.