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

Individual provider Rehabilitation Practitioner · NPI 1417350414

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
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Practice location Address checks out

1436 W Randolph 5th Fl
Chicago, IL 60607
Phone: (312) 226-8720
Fax: (312) 226-8722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1417350414
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 3, 2014

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