Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1508003161 Deactivated / Inactive NPI Female Practitioner

Dr. Corazon Buenviaje , MD

Plastic Surgery • Addison, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Corazon Buenviaje has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2009
NPI Deactivation Date March 16, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Corazon Buenviaje, MD was a registered Plastic Surgery practicing in Addison, IL. Throughout an active medical career spanning 11 years, Dr. Buenviaje provided care at the practice location at 240 E LAKE ST until profile deactivation on 2020-03-16.

Practice Location & Contact Primary Location

Practice Address

240 E Lake St
Ste #200

Addison, IL 601012890

Telephone 6309419344
Fax 6309411486
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Addison, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Addison, IL (236 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 336012372

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Emmanuel Agomo , PA-C

Physician Assistant - Medical

NPI 1093760514

Physician Assistant (Certified)

Marcia Siegal

Obstetrics & Gynecology

NPI 1205090552
NPI 1316099849

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 16, 2020

Record deactivated on March 16, 2020

NPI Profile Active January 19, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2009

Registered at 240 E LAKE ST, STE #200, ADDISON, IL 601012890 (Tel: 6309419344)

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Updated Business Mailing Address January 19, 2009

Registered at 240 E LAKE ST, STE #200, ADDISON, IL 601012890 (Tel: 6309419344)

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Provider Name / Credentials Updated January 19, 2009

Recorded as CORAZON BUENVIAJE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2009

Plastic Surgery (License #336012372 in IL)

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Initial NPI Registration & Enumeration January 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508003161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2009
Last Update: January 19, 2009
Deactivation Date: March 16, 2020

Mailing Address

240 E Lake St, Ste #200

Addison, IL 601012890

Phone: 6309419344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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