Individual
DR. TATJANA ANTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 6101, CHICAGO, IL 60637-1447
(773) 702-1243
Mailing address
5841 S MARYLAND AVE, MC 6101, CHICAGO, IL 60637-1447
(773) 702-1243
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
036-115866
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-115866
IL
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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