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WANDA NICOLE TATUM
NPI 1174335004
Driver in Cortland, IL

Active since January 27, 2025
95 W MEADOW DR, CORTLAND, IL 60112(312) 307-1651 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Nicole Tatum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA NICOLE TATUM (NPI 1174335004) is an individual driver provider in Cortland, Illinois, licensed in Illinois (T35091465782) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1174335004
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameWANDA NICOLE TATUM
Location Address95 W MEADOW DRCortland, IL 60112-4230
Mailing Address95 W Meadow DrCortland, IL 60112-4230 · (312) 307-1651
Phone(312) 307-1651
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1174335004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in IL · T35091465782
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
95 W MEADOW DR, Cortland, IL 60112
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Other Names 1

Former Name (1)Wanda Nicole Barnes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Tatum's NPI number?

The NPI number for Wanda Tatum is 1174335004. It was assigned to this individual provider in the NPPES registry on January 27, 2025. The provider is also known as Wanda Nicole Barnes.

Where is Wanda Tatum located?

Wanda Tatum practices at 95 W Meadow Dr, Cortland, IL 60112. The listed phone number is (312) 307-1651.

What is Wanda Tatum's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Wanda Tatum was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.