Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMONICQUE TATUM, EDD, LCSW
Active Sole ProprietorDR. DOMONICQUE TATUM, EDD, LCSW is a Clinical Social Worker healthcare provider located in MARKHAM, Illinois. NPI 1629593173 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MARKHAM, IL
Registration Details
- NPI Number
- 1629593173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2017 (8.997858655074 yrs)
- Last Updated
- Jul 21, 2022
- License
-
149.017448 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16300 KEDZIE AVEMARKHAM, IL, 604285508Browse IL providers · Browse ZIP 60428
- Phone
- 5712825193
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MARKHAM, IL
| Name | Credential | NPI |
|---|---|---|
| MS. HOPE GREEN | MSW, LCSW | 1508995804 |
| NANCY RAMIREZ | — | 1043166994 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.