BILLY TATUM


Address: 1436 W. Randolph, 5th Floor, Chicago, IL 60607
Phone: 3122268720

BILLY TATUM (NPI# 1417350414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1436 W. RANDOLPH
5TH FLOOR
City CHICAGO
State IL
Zip Code 60607

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NPI Name Taxonomy Address Enumeration
1992349237 Portia Dowd Registered Nurse 140 N Ashland, Chicago, IL 60607 2019-10-30
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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
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60607

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Dataset Information

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.

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