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Deactivated NPI 1922072800 Deactivated / Inactive NPI Male Practitioner

Dr. David Joseph Coynik , MD

Dermatology • Peru, 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. David Coynik has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2006
NPI Deactivation Date October 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. David Coynik, MD was a registered Dermatology practicing in Peru, IL. Throughout an active medical career spanning 17 years, Dr. Coynik provided care at the practice location at 4413 N. PROGRESS BLVD. until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

4413 N. Progress Blvd.

Peru, IL 613542763

Telephone 8152236975
Fax 8152230640
Associated Practice Facility / Clinic
🏢 David J Coynik, Md,pc Facility NPI 1225214323

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Peru, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Peru, IL (673 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

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036-055725

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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 October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active May 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2009

Registered at 4413 N. PROGRESS BLVD., PERU, IL 613542763 (Tel: 8152236975)

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Updated Business Mailing Address May 18, 2009

Registered at 4413 N. PROGRESS BLVD., PERU, IL 613542763 (Tel: 8152236975)

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Provider Name / Credentials Updated May 18, 2009

Recorded as DAVID COYNIK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2009

Dermatology (License #036-055725 in IL)

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Initial NPI Registration & Enumeration February 15, 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: 1922072800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2006
Last Update: May 18, 2009
Deactivation Date: October 13, 2023

Mailing Address

4413 N. Progress Blvd.

Peru, IL 613542763

Phone: 8152236975

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.