Organization
TATJANA K PAVLOVIC, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATJANA K PAVLOVIC MD (OWNER)
(773) 271-2719
Entity
Organization
Contact information
Practice address
2719 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 271-2719
(773) 271-9994
Mailing address
2719 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 271-2719
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036062416
IL
Other
Enumeration date
05/06/2009
Last updated
01/21/2010
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