# TATJANA PAVLOVIC M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407194400
- **Authorized official:** TATJANA PAVLOVIC M.D. (PHYSICIAN)
- **Authorized official phone:** (773) 772-8876

## Contact information

- **Practice address:** 2004 N PULASKI RD, CHICAGO, IL 60639-3767
- **Practice address phone:** (773) 772-8876
- **Practice address fax:** (773) 252-3091
- **Mailing address:** 2004 N PULASKI RD, CHICAGO, IL 60639-3767
- **Mailing address phone:** (773) 772-8876
- **Mailing address fax:** (773) 252-3091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036062416 | IL | Yes |

## Other

- **Enumeration date:** 01/25/2013
- **Last updated:** 01/25/2013