Pavlovic, Tatjana K

Pavlovic, Tatjana K is an sole proprietor health care provider with primary practice located at 2719 W Peterson Ave , Chicago IL 60659-3919. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Pavlovic, Tatjana K can be contacted via phone (773) 271-2719.

Contact Information

Primary practice address
2719 W Peterson Ave Chicago IL 60659-3919
Phone: (773) 271-2719
Fax: (773) 271-9994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 036062416 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036062416 Illinois

Profile Details

NPI number 1285794362
LBN Legal business name Pavlovic, Tatjana K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jun 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285794362 NPPES
Illinois Other 363313307 COMMERCIAL
Illinois MEDICAID 036062416 COMMERCIAL
Illinois Other 722020 COMMERCIAL

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