| Proactive Md Il Sc | |
|
4 Parkway North Blvd Deerfield IL 60015-2502 | |
| (847) 943-9950 | |
| Not Available |
| Full Name | Proactive Md Il Sc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4 Parkway North Blvd, Deerfield, Illinois |
| Authorized Official Name and Position | Mark Kemble (CMO) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md Il Sc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Il Sc 4 Parkway North Blvd Deerfield IL 60015-2502 Ph: (847) 943-9950 |
| NPI Number | 1922759349 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922759349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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