PROACTIVE WELLNESS GROUP OF PLAINFIELD
NPI 1083439566
Nurse Practitioner in Plainfield, IL

Active since November 19, 2024
12426 S VAN DYKE RD, PLAINFIELD, IL 60585(815) 782-6903 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Proactive Wellness Group Of Plainfield NPPES

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

PROACTIVE WELLNESS GROUP OF PLAINFIELD (NPI 1083439566) is a healthcare organization registered as a nurse practitioner in Plainfield, Illinois and active in the NPI registry since November 2024. The organization lists Mark J Humbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1083439566
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePROACTIVE WELLNESS GROUP OF PLAINFIELD
Location Address12426 S VAN DYKE RDPlainfield, IL 60585-2703
Mailing Address12426 S Van Dyke RdPlainfield, IL 60585-2703 · (815) 782-6903
Organization SubpartNo
Authorized OfficialMark J HumbertOwner · (815) 782-6903
Enumeration DateNovember 19, 2024
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
NPI 1083439566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedChiropractorTaxonomy 111N00000X
12426 S VAN DYKE RD, Plainfield, IL 60585

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
12426 S VAN DYKE RD, UNIT B
PLAINFIELD, IL 60585
Chiropractor
12426 S VAN DYKE RD
PLAINFIELD, IL 60585
Chiropractor
12426 S VAN DYKE RD
PLAINFIELD, IL 60585
Ophthalmology
12426 S VAN DYKE RD
PLAINFIELD, IL 60585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083439566, enumerated as an "organization" on November 19, 2024.

The provider is located at 12426 S VAN DYKE RD PLAINFIELD, IL 60585 and the phone number is (815) 782-6903.

Nurse Practitioner with taxonomy code 363L00000X.