Individual
DOMINIQUE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 CONKLIN DR APT 1, ROCKFORD, IL 61101-1865
(815) 713-5685
Mailing address
2644 CONKLIN DR APT 1, ROCKFORD, IL 61101-1865
(815) 713-5685
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us