PROACTIVE NATURAL MEDICINE, LTD
NPI 1063439768
Chiropractor - Nutrition in Chicago, IL

Active since July 17, 2006
5929 N MOBILE AVE, CHICAGO, IL 60646(773) 573-6348 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Proactive Natural Medicine, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE NATURAL MEDICINE, LTD (NPI 1063439768) is a healthcare organization registered as a nutrition in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Paul Matthew Mikulski, President, as its authorized official.

NPPES Registry Identity

NPI1063439768
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NamePROACTIVE NATURAL MEDICINE, LTD
Location Address5929 N MOBILE AVEChicago, IL 60646-5330
Mailing Address5929 N Mobile AveChicago, IL 60646-5330 · (773) 573-6348
Organization SubpartNo
Authorized OfficialPaul Matthew MikulskiPresident · (773) 573-6348
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063439768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
5929 N MOBILE AVE, Chicago, IL 60646

Other Identifiers 1

Other01635895IL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Natural Medicine, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactive Natural Medicine, Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1376564807
5929 N MOBILE AVE
Chicago, IL 60646
(773) 573-6348
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Natural Medicine, Ltd's NPI number?

The NPI number for Proactive Natural Medicine, Ltd is 1063439768. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Proactive Natural Medicine, Ltd located?

Proactive Natural Medicine, Ltd is located at 5929 N Mobile Ave, Chicago, IL 60646. The listed phone number is (773) 573-6348.

What is Proactive Natural Medicine, Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Proactive Natural Medicine, Ltd enrolled in Medicare?

Yes. Proactive Natural Medicine, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Natural Medicine, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Proactive Natural Medicine, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Natural Medicine, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.