MRS. MELISSA PILAR TATUM (NPI# 1972078350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972078350 |
Entity Type | Individual |
Full Name | MRS. MELISSA PILAR TATUM |
Credential | RN |
Practice Address |
3800 W Madison St Chicago IL 60624-2312 |
Mailing Address |
600 W Fulton St Ste 200 Chicago IL 60661-1262 |
Practice Telephone | 7738266600 |
Practice Fax Number | 7738261407 |
Mailing Telephone | 3125262411 |
Mailing Fax Number | 3125262329 |
Enumeration Date | 2018-10-11 |
Last Update Date | 2018-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
041373208 | IL | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497720262 | Melissa Ashley Tatum | Nurse Practitioner | 1100 S Cedar Ave, Demopolis, AL 36732-3310 | 2006-02-22 |
1598094658 | Melissa Tatum | Counselor | 6901 State Highway 19 S, Athens, TX 75751-9119 | 2009-12-18 |
Street Address |
3800 W MADISON ST |
City | CHICAGO |
State | IL |
Zip Code | 60624-2312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831296540 | Yacob H. Gawo | Family Medicine | 3800 W Madison St, Chicago, IL 60624-2334 | 2006-09-17 |
1780824037 | Mara Divis | Family Medicine | 3800 W Madison St, Chicago, IL 60624-2334 | 2009-02-26 |
1023223161 | Kishore Bobba | Family Medicine | 3800 W Madison St, Chicago, IL 60624-2334 | 2007-05-11 |
1922160233 | Family Guidance Centers, Inc. | Clinic/Center | 3800 W Madison St, Chicago, IL 60624-2312 | 2006-12-14 |
1922170349 | Access Community Health Network | Clinic/Center | 3800 W Madison St, Chicago, IL 60624-2334 | 2006-11-14 |
1649357088 | Hamlin Pharmacy Inc | Pharmacy | 3800 W Madison St, Chicago, IL 60624-2334 | 2006-11-01 |
1629151352 | Leo Boler | Obstetrics & Gynecology | 3800 W Madison St, Chicago, IL 60624-2334 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
Find all providers in zip 60624 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235601410 | Hannah Dawn Saguin Cimafranca | Registered Nurse | 1900 W Polk St Unit 154, Chicago, IL 60612-3723 | 2018-12-28 |
1609347269 | Deborah De La Haye | Registered Nurse | 3523 W 76th St, Chicago, IL 60652-1405 | 2018-12-07 |
1407322837 | Lawanda Burnett-berry | Registered Nurse | 1801 W Polk St, Suite 154, Chicago, IL 60612 | 2018-10-24 |
1891262226 | Cyndril Bendijo Carreon-palencia | Registered Nurse | 1900 W Polk St Rm 154, Chicago, IL 60612-3723 | 2018-10-24 |
1295201309 | Daryl R Castillo | Registered Nurse | 1900 W. Polk Street, Administration Bldg. - Room 154, Chicago, IL 60612 | 2018-10-16 |
1861967242 | Joe E Phillips | Registered Nurse | 600 W Fulton St Ste 200, Chicago, IL 60661-1262 | 2018-10-11 |
1679182760 | Aruna N Sasikumar | Registered Nurse | 1900 W Polk St, Chicago, IL 60612-3723 | 2020-07-24 |
1750930475 | Kimberly Rhodes | Registered Nurse | 1900 W Polk St, Chicago, IL 60612-3723 | 2019-09-05 |
1477119337 | Tiffany Sharie Blakey | Registered Nurse | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-05-16 |
1164981064 | Shirece L Roberts | Registered Nurse | 1900 W Polk St, Chicago, IL 60612-3723 | 2019-03-19 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.