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Contact Information

PROACTIVE WELLNESS CENTER
LBN PROACTIVE ALTERNATIVES PC
14044 W PETRONELLA DR
SUITE 3
LIBERTYVILLE, IL60048
 Phone: 847-549-6044
 Fax: 847-549-6058
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PROACTIVE WELLNESS CENTER PROACTIVE ALTERNATIVES PC · (Female)

NPI # 1174664882
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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