PROACTIVE MD IL SC

O FALLON, IL
NPI1881488773
Doing Business AsOE 520 HEALTH CENTER
Entity TypeOrganization
Authorized ContactMARK ALLEN KEMBLE
Chief Medical Officer
864-640-8355
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2025-04-07
Last Update Date2026-08-31
Business Address
PROACTIVE MD IL SC
1472 N GREEN MOUNT RD
O FALLON, IL 62269-3416
Phone number: 730-240-8040
Mailing Address
PROACTIVE MD IL SC
86 VILLA RD STE 100
GREENVILLE, SC 29615-3052
Phone number: 864-640-8355