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Individual

ZOFIA T STEVANOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3208 N MAJOR AVE, CHICAGO, IL 60634-4332
(773) 736-2772
(773) 736-9122
Mailing address
6058 W IRVING PARK RD, CHICAGO, IL 60634-2610
(773) 736-2772
(773) 736-9122

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-054838
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036054838
IL
01
21609632
BCBS
IL
Enumeration date
10/19/2006
Last updated
04/26/2026
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