Mathew Shaji Markos, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.071300 Issued in IL

Practice address

2650 S California Ave
Suite 1001
Chicago, IL 60608-5146

Phone

(773) 674-6123

Fax

(773) 674-5113

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1245586593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S CALIFORNIA AVE",
            "address_2": "SUITE 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085146",
            "telephone_number": "773-674-6123",
            "fax_number": "773-674-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S CALIFORNIA AVE",
            "address_2": "SUITE 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085146",
            "telephone_number": "773-674-6123",
            "fax_number": "773-674-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOS",
        "first_name": "MATHEW",
        "middle_name": "SHAJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036.071300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.071300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Marklein, LCPC
• Amy E. Markley
• Elizabeth Markman, LCPC
• Marko Lekovic, M.D.,S.C.
• Dimitris Markopoulos
• Steve Markose
• Irena Markova, PMHNP
• Jasmina Markovic, RD
• Nicole Markovich, MSN, FNP-BC
• Brooke Markovitch, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.