Provider Demographics
NPI:1508610577
Name:MILENA TATIC-BAJICH PSY D
Entity Type:Organization
Organization Name:MILENA TATIC-BAJICH PSY D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TATIC-BAJICH
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:773-561-5524
Mailing Address - Street 1:2451 N LINCOLN AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2422
Mailing Address - Country:US
Mailing Address - Phone:773-561-5524
Mailing Address - Fax:773-561-5524
Practice Address - Street 1:2451 N LINCOLN AVE STE 209
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2422
Practice Address - Country:US
Practice Address - Phone:773-561-5524
Practice Address - Fax:773-561-5524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty