Individual
MRS. MELISSA PILAR TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
041373208
IL
2084P0800X
Psychiatry Physician
209027297
IL
363L00000X
Nurse Practitioner
Primary
209027297
IL
Other
Enumeration date
10/11/2018
Last updated
10/10/2023
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