| NPI | 1174664882 |
|---|---|
| Doing Business As | PROACTIVE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY I STOWELL President 847-549-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209002150) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |