MEDICARE: DAVID MARKOVITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	036062040	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316984172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MARKOVITZ M.D.

Provider Business Mailing Address
First Line	:	12100 S 80TH AVE
Second Line	:	#690
City	:	PALOS PARK
State	:	IL
Zip	:	60464-0690
Country	:	US
Telephone Number	:	708-361-3880
Fax Number	:	708-361-2187

Provider Business Practice Location Address
First Line	:	7350 W COLLEGE DR
Second Line	:	SUITE 103
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1149
Country	:	US
Telephone Number	:	708-361-3880
Fax Number	:	708-361-2187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	06/10/2013

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