PROACTIVE COMMUNITY SERVICES
NPI 1174035059
Clinic/Center - Community Health in Flossmoor, IL
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 14D1081352
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 03-16-2028
About PROACTIVE COMMUNITY SERVICES
This page provides the complete NPI Profile along with additional information for Proactive Community Services, a primary care provider established in Flossmoor, Illinois operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1174035059 assigned on October 2017. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Eula Burge (C.e.o/executive Director)
- NPI
- 1174035059 Verify this NPI
- Provider Name
- PROACTIVE COMMUNITY SERVICES
- Entity Type
- Organization
- Location Address
- 19740 GOVERNORS HWY STE 118 FLOSSMOOR, IL 60422
- Location Phone
- (708) 248-6166
- Location Fax
- (866) 298-7558
- Mailing Address
- 19740 GOVERNORS HWY STE 118 FLOSSMOOR, IL 60422
- Mailing Phone
- (708) 248-6166
- Mailing Fax
- (866) 298-7558
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2017
- Last Update Date
- 02-12-2022
- Code Navigator
A primary care provider (PCP) like Proactive Community Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1081352
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- March 17, 2026
- Certificate Expiration Date
- March 16, 2028
- Laboratory Director
- EULA L. BURGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Proactive Community Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROACTIVE COMMUNITY SERVICES
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FLOSSMOOR, IL 60422
FLOSSMOOR, IL 60422
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174035059, enumerated as an "organization" on October 31, 2017.
The provider is located at 19740 GOVERNORS HWY STE 118 FLOSSMOOR, IL 60422 and the phone number is (708) 248-6166.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
