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Deactivated NPI 1699938233 Deactivated / Inactive NPI Male Practitioner

Dr. Cornelio S Casaclang , 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. Cornelio Casaclang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2008
NPI Deactivation Date October 27, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Cornelio Casaclang, MD was a registered General Practice practicing in Willowbrook, IL. Throughout an active medical career spanning 14 years, Dr. Casaclang provided care at the practice location at 6514 RODGERS DR until profile deactivation on 2022-10-27.

Practice Location & Contact Primary Location

Practice Address

6514 Rodgers Dr

Willowbrook, IL 605275461

Telephone 6309651148

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 036065343

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 October 27, 2022

Record deactivated on October 27, 2022

NPI Profile Active July 03, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 03, 2008

Registered at 6514 RODGERS DR, WILLOWBROOK, IL 605275461 (Tel: 6309651148)

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Updated Business Mailing Address July 03, 2008

Registered at 6514 RODGERS DR, WILLOWBROOK, IL 605275461 (Tel: 6309651148)

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Provider Name / Credentials Updated July 03, 2008

Recorded as CORNELIO CASACLANG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2008

General Practice (License #036065343 in IL)

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Initial NPI Registration & Enumeration July 03, 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: 1699938233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2008
Last Update: July 03, 2008
Deactivation Date: October 27, 2022

Mailing Address

6514 Rodgers Dr

Willowbrook, IL 605275461

Phone: 6309651148

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.