Active NPI
Taras W. Didenko, MD, PC
- Psychiatry Physician
- Schaumburg, IL
National Provider Identifier
1982997292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699921221 | Other | IL | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Schaumburg, IL
- NPI 1316539356
-
- Nurse Practitioner
- Winfield, IL
- NPI 1013342906
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.