Individual provider Active NPI

Tanya Markov, APRN

  • Family Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1356985279
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002180 Issued in IL
Practice address
1207 McHenry Rd Ste 215
Buffalo Grove, IL 60089-1371
Phone
(847) 943-9947
NPI assigned
Nov 4, 2019
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020247 IL
Family Nurse Practitioner 363LF0000X 277002180 IL Primary

Addresses

Primary practice location

1207 McHenry Rd Ste 215
Buffalo Grove, IL 60089-1371

Mailing address

1207 McHenry Rd Ste 215
Buffalo Grove, IL 60089-1371
Phone (224) 659-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929003312 IL Practitioner - Nurse Practitioner 3375962053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277002180ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1356985279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 MCHENRY RD STE 215",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891371",
            "telephone_number": "224-659-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MCHENRY RD STE 215",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891371",
            "telephone_number": "847-943-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOV",
        "first_name": "TANYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020247",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.