Proactive Wellness Group

NPI #1275213902 in Shorewood, Illinois

Provider Information

NPI Number: 1275213902
Entity Type: Organization
Organization Name: Proactive Wellness Group
Primary Specialty: Nurse Practitioner
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 805 W JEFFERSON ST STE A
City: Shorewood
State: Illinois
ZIP Code: 60404-7379
Phone: (815) 725-8660

Authorized Official

Name: DR. DANIEL SPACCAPANICCIA, DC
Title: OWNER/CHIROPRACTOR
Phone: (815) 725-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner	363L00000X	Primary

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