MEDICARE: DR. NESTOR M IVKOV 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	036085403	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	:	1023028750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESTOR M IVKOV M.D.

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	9831 SOUTH WESTERN AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1055
Country	:	US
Telephone Number	:	773-445-3500
Fax Number	:	773-445-0575

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	05/09/2025

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