PROACTIVE SPORT & SPINE, SC
NPI 1134474414
Chiropractor - Sports Physician in Northbrook, IL

Q: What is Proactive Sport & Spine, Sc's NPI number?

The NPI number for Proactive Sport & Spine, Sc is 1134474414. It was assigned to this organization in the NPPES registry on July 23, 2012.

Q: What is Proactive Sport & Spine, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since July 23, 2012

3340 DUNDEE RD, SUITE 2C4, NORTHBROOK, IL 60062(224) 235-4651(224) 235-4654 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Proactive Sport & Spine, Sc NPPES

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

PROACTIVE SPORT & SPINE, SC (NPI 1134474414) is a healthcare organization registered as a sports physician in Northbrook, Illinois and active in the NPI registry since July 2012. The organization lists Jeffrey R. Schwan, Clinic Director/owner, as its authorized official.

NPPES Registry Identity

NPI1134474414

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NamePROACTIVE SPORT & SPINE, SC

Location Address3340 DUNDEE RD, SUITE 2C4Northbrook, IL 60062-2324

Mailing Address3340 Dundee Rd, Suite 2c4Northbrook, IL 60062-2324 · (224) 235-4651 · Fax (224) 235-4654

Phone(224) 235-4651

Fax(224) 235-4654

Organization SubpartNo

Authorized OfficialJeffrey R. SchwanClinic Director/owner · (847) 997-3380

Enumeration DateJuly 23, 2012

✔ NPI 1134474414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in IL · 038011182

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

3340 DUNDEE RD, Northbrook, IL 60062

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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

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 Sport & Spine, Sc 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 Sport & Spine, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Schwan, D.C.

Chiropractic

NPI 1285886762

3340 DUNDEE RD SUITE 2C4
Northbrook, IL 60062

(224) 235-4651

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 Sport & Spine, Sc's NPI number?

The NPI number for Proactive Sport & Spine, Sc is 1134474414. It was assigned to this organization in the NPPES registry on July 23, 2012.

Where is Proactive Sport & Spine, Sc located?

Proactive Sport & Spine, Sc is located at 3340 Dundee Rd Suite 2c4, Northbrook, IL 60062. The listed phone number is (224) 235-4651.

What is Proactive Sport & Spine, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Proactive Sport & Spine, Sc enrolled in Medicare?

Yes. Proactive Sport & Spine, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Sport & Spine, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Proactive Sport & Spine, Sc. 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 Sport & Spine, Sc was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.