Proactive MD Il Sc
NPI #1881488773 in O Fallon, Illinois
Provider Information
- NPI Number
- 1881488773
- Entity Type
- Organization
- Organization Name
- Proactive MD Il Sc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
Authorized Official
- Name
- MARK KEMBLE, MD
- Title
- CMO
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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