Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1538136015 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A Buettner , PT, DC

Chiropractor • Peoria, 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. Mark Buettner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2006
NPI Deactivation Date January 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Buettner, PT, DC was a registered Chiropractor practicing in Peoria, IL. Throughout an active medical career spanning 18 years, Dr. Buettner provided care at the practice location at 5401 N KNOXVILLE AVE until profile deactivation on 2024-01-17.

Practice Location & Contact Primary Location

Practice Address

5401 N Knoxville Ave
Suite 117

Peoria, IL 616145098

Telephone 3096898888
Fax 3096898410
Associated Practice Facility / Clinic
🏢 Frank I Russo Facility NPI 1639140833

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
79 Specialists

Practicing in Peoria, IL (4730 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038009649

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Yibing Li , MD

Physical Medicine & Rehabilitation

NPI 1013923929

Doctor of Medicine (M.D.)

James Scarpaci , PT

Physical Therapist

NPI 1164796256

Physical Therapist

Leah Tabor

Specialist/Technologist, Other

NPI 1558732370

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 January 17, 2024

Record deactivated on January 17, 2024

NPI Profile Active July 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2011

Registered at 5401 N KNOXVILLE AVE, SUITE 117, PEORIA, IL 616145098 (Tel: 3096898888)

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Updated Business Mailing Address July 06, 2011

Registered at 3324 N BILTMORE AVE, PEORIA, IL 616041467 (Tel: 3092581284)

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Provider Name / Credentials Updated July 06, 2011

Recorded as MARK BUETTNER, PT, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2011

Chiropractor (License #038009649 in IL)

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Initial NPI Registration & Enumeration March 03, 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: 1538136015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2006
Last Update: July 06, 2011
Deactivation Date: January 17, 2024

Mailing Address

3324 N Biltmore Ave

Peoria, IL 616041467

Phone: 3092581284

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.