Billy Tatum
Billy Tatum is a Rehabilitation Practitioner in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1436 W Randolph 5th FlChicago, IL 60607
Phone: (312) 226-8720
Fax: (312) 226-8722
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1417350414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2014 |
| Last updated in NPPES | October 3, 2014 |
| Mailing address | 1436 W Randolph St, 5th Floor, Chicago, IL 60607-1405 |
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