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
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Deerfield
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.