| Dr Domonicque Tatum, EDD, LCSW | |
|
16300 Kedzie Ave, Markham, IL 60428-5508 | |
| (571) 282-5193 | |
| Not Available |
| Full Name | Dr Domonicque Tatum |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 16300 Kedzie Ave, Markham, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629593173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.017448 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Domonicque Tatum, EDD, LCSW 16300 Kedzie Ave, Markham, IL 60428-5508 Ph: (571) 282-5193 | Dr Domonicque Tatum, EDD, LCSW 16300 Kedzie Ave, Markham, IL 60428-5508 Ph: (571) 282-5193 |
Nancy Ramirez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16302 Saint Louis Ave, Markham, IL 60428 Phone: 708-733-3230 | |
Ms. Hope Green, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16643 Kedzie Ave, Suite 102, Markham, IL 60428 Phone: 708-299-4378 |