MEDICARE: DR. TATJANA K PAVLOVIC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1100X	Ophthalmic Technician/Technologist	036062416	IL
2	207W00000X	Ophthalmology Physician	036062416	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	363313307	OTHER	IL	COMMERCIAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	722020	OTHER		FORCE MATCH

General Provider Information

NPI Number	:	1285794362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TATJANA K PAVLOVIC MD

Provider Business Mailing Address
First Line	:	2719 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3919
Country	:	US
Telephone Number	:	773-271-2719
Fax Number	:

Provider Business Practice Location Address
First Line	:	2719 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3919
Country	:	US
Telephone Number	:	773-271-2719
Fax Number	:	773-271-9994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/15/2020

Similar Medicare Providers

1689457673 — MS. COURTNEY JONES BCBA
Practice Location Address:

2701 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 224-293-6661
Practice Fax:

1396850327 — TOUHY PHARMACY ENTERPRISES INC
Practice Location Address:

2721 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 773-334-3193
Practice Fax: 773-334-1595

1881828861 — TATJANA K PAVLOVIC, MD SC
Practice Location Address:

2719 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 773-271-2719
Practice Fax: 773-271-9994

1811303282 — DR. JESSICA HEWETSON GRUBER BCBA-D, PHD, LBA
Practice Location Address:

2701 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 224-258-2570
Practice Fax: 224-241-3132

1508320334 — BAN HAIDAR
Practice Location Address:

2701 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 224-258-2570
Practice Fax:

1346891702 — ANNE SOPHIA GROSS BCBA
Practice Location Address:

2701 W PETERSON AVE
CHICAGO, IL
60659-3919

Practice Phone: 773-372-2123
Practice Fax:

Directions to “ DR. TATJANA K PAVLOVIC MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.