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Individual

DR. SRDJA BULATOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1770 1ST ST, SUITE 703, HIGHLAND PARK, IL 60035-3200
(847) 433-1539
(847) 433-1552
Mailing address
1770 1ST ST, SUITE 703, HIGHLAND PARK, IL 60035-3200
(847) 433-1539
(847) 433-1552

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036107996
IL
207L00000X
Anesthesiology Physician
MD00044136
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8435265
WA
Enumeration date
12/14/2006
Last updated
05/29/2008
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