Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wanda Nicole Tatum

Individual provider Driver · NPI 1174335004

Wanda Nicole Tatum is a Driver in Cortland, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

95 W Meadow Dr
Cortland, IL 60112-4230
Phone: (312) 307-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence T35091465782 (IL)

Record details

NPI number1174335004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address95 W Meadow Dr, Cortland, IL 60112-4230