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Deactivated NPI 1629224217 Deactivated / Inactive NPI Male Practitioner

Dr. Vivencio Reyes Battung , MD

General Practice • Willowbrook, 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. Vivencio Battung has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2008
NPI Deactivation Date November 13, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Vivencio Battung, MD was a registered General Practice practicing in Willowbrook, IL. Throughout an active medical career spanning 12 years, Dr. Battung provided care at the practice location at 7525 ARLENE AVE until profile deactivation on 2020-11-13.

Practice Location & Contact Primary Location

Practice Address

7525 Arlene Ave

Willowbrook, IL 605272308

Telephone 6303257854
Fax 6303257854

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Willowbrook, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Willowbrook, IL (355 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036041260

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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, 2020

Record deactivated on November 13, 2020

NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2008

Registered at 7525 ARLENE AVE, WILLOWBROOK, IL 605272308 (Tel: 6303257854)

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Updated Business Mailing Address August 14, 2008

Registered at 7525 ARLENE AVE, WILLOWBROOK, IL 605272308 (Tel: 6303257854)

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Provider Name / Credentials Updated August 14, 2008

Recorded as VIVENCIO BATTUNG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

General Practice (License #036041260 in IL)

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Initial NPI Registration & Enumeration August 14, 2008

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: 1629224217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2008
Last Update: August 14, 2008
Deactivation Date: November 13, 2020

Mailing Address

7525 Arlene Ave

Willowbrook, IL 605272308

Phone: 6303257854

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.