| Taras W. Didenko, Md, Pc | |
|
999 N Plaza Dr Ste 270 Schaumburg IL 60173-5493 | |
| (847) 496-4525 | |
| (847) 660-2859 |
| Full Name | Taras W. Didenko, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 999 N Plaza Dr Ste 270, Schaumburg, Illinois |
| Authorized Official Name and Position | Taras W. Didenko (OWNER OF ENTITY) |
| Authorized Official Contact | 3128106223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taras W. Didenko, Md, Pc Po Box 59566 Schaumburg IL 60159-0566 Ph: () - | Taras W. Didenko, Md, Pc 999 N Plaza Dr Ste 270 Schaumburg IL 60173-5493 Ph: (847) 496-4525 |
| NPI Number | 1982997292 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 1850563909 |
|---|---|
| Medicare Enrollment ID | O20111013000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982997292 | NPI | - | NPPES |
| 1699921221 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Taras W Didenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699921221 PECOS PAC ID: 3274687108 Enrollment ID: I20090812000303 |
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