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Deactivated NPI 1164470423 Deactivated / Inactive NPI Male Practitioner

Dr. Wayne Mathy , MD

Internal Medicine • Countryside, 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. Wayne Mathy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2006
NPI Deactivation Date November 13, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Mathy, MD was a registered Internal Medicine practicing in Countryside, IL. Throughout an active medical career spanning 11 years, Dr. Mathy provided care at the practice location at 6438 JOLIET RD until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

6438 Joliet Rd

Countryside, IL 605254685

Telephone 7083525222
Fax 7083525285
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Countryside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Countryside, IL (7544 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 36035050

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jacqueline Celmer , FNP

Nurse Practitioner - Family

NPI 1811245178

Family Nurse Practitioner

Dr. Gerald Simon , MD

Internal Medicine

NPI 1861450330

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 November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active February 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2013

Registered at 6438 JOLIET RD, COUNTRYSIDE, IL 605254685 (Tel: 7083525222)

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Updated Business Mailing Address February 20, 2013

Registered at 6438 JOLIET RD, COUNTRYSIDE, IL 605254685 (Tel: 7083525222)

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Provider Name / Credentials Updated February 20, 2013

Recorded as WAYNE MATHY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2013

Internal Medicine (License #36035050 in IL)

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Initial NPI Registration & Enumeration May 05, 2006

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: 1164470423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: February 20, 2013
Deactivation Date: November 13, 2017

Mailing Address

6438 Joliet Rd

Countryside, IL 605254685

Phone: 7083525222

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.