Search › Illinois › 172A00000X
Wanda Tatum
NPI 1174335004 · on the registry since 2025
Practice
- Address
- 95 W Meadow Dr
Cortland, IL 60112 - Phone
- (312) 307-1651
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois