Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dmitriy Gonikman

Individual provider Psychiatry Physician · NPI 1730530452

Dmitriy Gonikman is a Psychiatry in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

Rush 1653 W Congress Pkwy
Chicago, IL 60612
Phone: (312) 942-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 125069151 (IL)

Record details

NPI number1730530452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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