Individual
ELIZABETH TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-4735
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.159210
IL
207R00000X
Internal Medicine Physician
125074639
IL
Other
Enumeration date
06/06/2019
Last updated
05/03/2022
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