Organization · Type 2 NPI

Proactive MD Il SC

Primary Care Clinic/Center · Deerfield, IL

NPI number 1922759349 Active

Practice location

4 Parkway North Blvd
Deerfield, IL 60015-2502

Mailing address

124 Allawood Ct
Simpsonville, SC 29681-6207

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1922759349

Proactive MD Il SC's National Provider Identifier is 1922759349, issued on Jan 18, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Deerfield, IL. The record was last updated on Apr 10, 2025.