Tatjana K Pavlovic, MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036062416 Issued in IL

Legal business name

TATJANA K PAVLOVIC, MD SC

Practice address

2719 W Peterson Ave
Chicago, IL 60659-3919

Phone

(773) 271-2719

Fax

(773) 271-9994

NPI assigned

May 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tatjana K Pavlovic, MD

Title

Owner

Phone

(773) 271-2719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1881828861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-271-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-271-2719",
            "fax_number": "773-271-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATJANA K PAVLOVIC, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "PAVLOVIC",
        "authorized_official_first_name": "TATJANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-271-2719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036062416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Tatebe, MD
• Leah Carey Tatebe, M.D.
• Laura M Tatgenhorst
• Tatiana Rohner LLC
• Milena Tatic-Bajich, PSYD
• Tatjana Pavlovic M.D.
• Alexandra Tatooles, LCSW, ACM-SW
• Nicole Tatsuguchi-Ongcal, DC
• Jessica Grace Tatsui
• Diane Tattegrain

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.