Provider Demographics
NPI:1568559474
Name:MARKOVICH, WILLIAM P (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:MARKOVICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3007
Mailing Address - Country:US
Mailing Address - Phone:563-355-8894
Mailing Address - Fax:
Practice Address - Street 1:105 S CHICAGO ST
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:IL
Practice Address - Zip Code:61254-1478
Practice Address - Country:US
Practice Address - Phone:309-944-8804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0576108Medicaid
IA0576108Medicaid
ILP00083055Medicare ID - Type UnspecifiedRAILROAD MEDICARE
ILK01713Medicare ID - Type Unspecified