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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

NPI Number 1174664882
LBN Legal business name PROACTIVE ALTERNATIVES PC
DBA Doing business as PROACTIVE WELLNESS CENTER
Authorized official MARY STOWELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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