Wanda Nicole Tatum
Driver · Cortland, IL
Practice location
95 W Meadow DrCortland, IL 60112-4230
- Phone
- (312) 307-1651
NPI record
- NPI
- 1174335004
- Entity type
- Individual (Type 1)
- Enumeration date
- January 27, 2025
- Last updated
- January 27, 2025
- Certified
- January 27, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
T35091465782 | IL |
About Wanda Tatum
Wanda Nicole Tatum is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 95 W Meadow Dr, Cortland, IL 60112-4230. The NPI number 1174335004 was assigned on January 27, 2025 and the record was last updated on January 27, 2025.
Wanda Tatum lists a license in the registry: #T35091465782 (IL) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Wanda Nicole Tatum?
The NPI number is 1174335004.
What is the phone number of Wanda Tatum?
The phone number listed for the practice location is (312) 307-1651.
Where is Wanda Tatum located?
95 W Meadow Dr, Cortland, IL 60112-4230.
What is the taxonomy code for Wanda Tatum?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.