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Deactivated NPI 1932327061 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Mortimer Buffington , MD

Specialist • Wilmette, 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. Jack Buffington has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date November 07, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Buffington, MD was a registered Specialist practicing in Wilmette, IL. Throughout an active medical career spanning 11 years, Dr. Buffington provided care at the practice location at 1500 SHERIDAN ROAD #TJ until profile deactivation on 2018-11-07.

Practice Location & Contact Primary Location

Practice Address

1500 Sheridan Road #tj

Wilmette, IL 60091

Telephone 8472514382
Fax 8472513025

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wilmette, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Wilmette, IL (1322 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 07, 2018

Record deactivated on November 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1500 SHERIDAN ROAD #TJ, WILMETTE, IL 60091 (Tel: 8472514382)

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Updated Business Mailing Address July 08, 2007

Registered at 1500 SHERIDAN ROAD #TJ, WILMETTE, IL 60091 (Tel: 8472514382)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK BUFFINGTON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

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Initial NPI Registration & Enumeration April 23, 2007

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: 1932327061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Deactivation Date: November 07, 2018

Mailing Address

1500 Sheridan Road #tj

Wilmette, IL 60091

Phone: 8472514382

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.