# TATJANA K PAVLOVIC, MD SC

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

## Provider details

- **NPI number:** 1881828861
- **Authorized official:** DR. TATJANA K PAVLOVIC MD (OWNER)
- **Authorized official phone:** (773) 271-2719

## Contact information

- **Practice address:** 2719 W PETERSON AVE, CHICAGO, IL 60659-3919
- **Practice address phone:** (773) 271-2719
- **Practice address fax:** (773) 271-9994
- **Mailing address:** 2719 W PETERSON AVE, CHICAGO, IL 60659-3919
- **Mailing address phone:** (773) 271-2719

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 01/21/2010