Provider Demographics
NPI:1265493811
Name:MARKIV, VOLODIMIR Z (MD)
Entity Type:Individual
Prefix:DR
First Name:VOLODIMIR
Middle Name:Z
Last Name:MARKIV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-0129
Mailing Address - Country:US
Mailing Address - Phone:815-834-7200
Mailing Address - Fax:815-834-2600
Practice Address - Street 1:3330 W 177TH ST
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2001
Practice Address - Country:US
Practice Address - Phone:815-834-7200
Practice Address - Fax:815-834-2600
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336.101109208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036101109Medicaid
ILK52717Medicare PIN
IL036101109Medicaid
ILP00353410Medicare PIN
ILK27678Medicare PIN