Active NPI
David Markovitz, M.D.
- Neurology Physician
- Palos Heights, IL
National Provider Identifier
1316984172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036062040
- Practice address
- 7350 W College Dr
Suite 103
Palos Heights, IL 60463-1149 - Phone
- (708) 361-3880
- Fax
- (708) 361-2187
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036062040 | IL | Primary |
Addresses
Primary practice location
7350 W College Dr
Suite 103
Palos Heights, IL 60463-1149
Mailing address
12100 S 80TH Ave
#690
Palos Park, IL 60464-0690
Phone (708) 361-3880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062040 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062040 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Neurological Consultants, PC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1316984172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 S 80TH AVE",
"address_2": "#690",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604640690",
"telephone_number": "708-361-3880",
"fax_number": "708-361-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 W COLLEGE DR",
"address_2": "SUITE 103",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631149",
"telephone_number": "708-361-3880",
"fax_number": "708-361-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOVITZ",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036062040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062040",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.