Organization Active NPI

Taras W. Didenko, MD, PC

  • Psychiatry Physician
  • Schaumburg, IL
National Provider Identifier
1982997292
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TARAS W. DIDENKO, MD, PC
Practice address
999 N Plaza Dr Ste 270
Schaumburg, IL 60173-5493
Phone
(847) 496-4525
Fax
(847) 660-2859
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Taras W. Didenko, MD
Title
Owner of Entity
Phone
(312) 810-6223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

999 N Plaza Dr Ste 270
Schaumburg, IL 60173-5493

Mailing address

PO Box 59566
Schaumburg, IL 60159-0566

Other identifiers 1

IdentifierTypeStateIssuer
1699921221OtherILINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000435 IL Part B Supplier - Clinic/Group Practice 1850563909 Practice locations: McHenry, IL; Woodstock, IL; Schaumburg, IL; Rolling Meadows, IL; Riverwoods, IL; Palos Hills, IL; Long Grove, IL; Hillside, IL…

National Provider Directory

National Provider Directory

Locations

2500 W Higgins Rd
Ste 815
Hoffman Estates, IL 60169
Phone (224) 489-3888

999 N Plaza Dr
Ste 270
Schaumburg, IL 60173
Phone (847) 496-4525

Practitioners & affiliated clinicians

Practitioners 3

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1982997292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59566",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601590566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 270",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735493",
            "telephone_number": "847-496-4525",
            "fax_number": "847-660-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARAS W. DIDENKO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DIDENKO",
        "authorized_official_first_name": "TARAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "312-810-6223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699921221",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.