Organization Active NPI

Markovich Chiropractic L.L.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1982744686
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008160 Issued in IL
Legal business name
MARKOVICH CHIROPRACTIC L.L.C.
Practice address
3610 25TH St Ste 1
Moline, IL 61265-7261
Phone
(309) 797-3008
Fax
(309) 797-3016
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. William P Markovich, DCNPI 1568559474
Title
President
Phone
(309) 944-8804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008160 IL Primary

Addresses

Primary practice location

3610 25TH St Ste 1
Moline, IL 61265-7261

Mailing address

3610 25TH St Ste 1
Moline, IL 61265-7261
Phone (309) 797-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070319000027 IL Part B Supplier - Clinic/Group Practice 8123121886 Receives reassigned benefits from 1 practitioner
Practice locations: Moline, IL

National Provider Directory

National Provider Directory

Locations

105 S Chicago St
Ste 2
Geneseo, IL 61254
Phone (309) 944-0175

3610 25th St
Ste 1
Moline, IL 61265
Phone (309) 737-4163

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1982744686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 25TH ST STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657261",
            "telephone_number": "309-797-3008",
            "fax_number": "309-797-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 25TH ST STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657261",
            "telephone_number": "309-797-3008",
            "fax_number": "309-797-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKOVICH CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MARKOVICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-944-8804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.