NPIMap

Organization Active NPI

Yevgen Tkachuk DDS PC

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1154872174
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029513 Issued in IL
Legal business name
YEVGEN TKACHUK DDS PC
Practice address
15 E Dundee Rd
Buffalo Grove, IL 60089-4383
Phone
(847) 229-1700
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Dr. Yevgen Tkachuk, DDSNPI 1902234594
Title
Dentist Owner
Phone
(312) 544-9384

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019029513 IL Primary

Addresses

Primary practice location

15 E Dundee Rd
Buffalo Grove, IL 60089-4383

Mailing address

4238 N Bloomington Ave
203
Arlington Heights, IL 60004-8310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1154872174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 N BLOOMINGTON AVE",
            "address_2": "203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600048310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894383",
            "telephone_number": "847-229-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGEN TKACHUK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "TKACHUK",
        "authorized_official_first_name": "YEVGEN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "312-544-9384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.