PROACTIVE COMMUNITY SERVICES
NPI 1174035059
Clinic/Center - Community Health in Flossmoor, IL

Q: What is Proactive Community Services's NPI number?

The NPI number for Proactive Community Services is 1174035059. It was assigned to this organization in the NPPES registry on October 31, 2017.

Q: What is Proactive Community Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since October 31, 2017CLIA 14D1081352 · Waiver

19740 GOVERNORS HWY STE 118, FLOSSMOOR, IL 60422(708) 248-6166(866) 298-7558 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2022, Oct 31, 2017 (2 updates tracked since 2017).

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About Proactive Community Services NPPES

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

PROACTIVE COMMUNITY SERVICES (NPI 1174035059) is a healthcare organization registered as a community health in Flossmoor, Illinois and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Eula Burge, C.e.o/executive Director, as its authorized official.

NPPES Registry Identity

NPI1174035059

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NamePROACTIVE COMMUNITY SERVICES

Location Address19740 GOVERNORS HWY STE 118Flossmoor, IL 60422-2085

Mailing Address19740 Governors Hwy Ste 118Flossmoor, IL 60422-2085 · (708) 248-6166 · Fax (866) 298-7558

Phone(708) 248-6166

Fax(866) 298-7558

Organization SubpartNo

Authorized OfficialEula BurgeC.e.o/executive Director · (708) 248-6166

Enumeration DateOctober 31, 2017

Last NPPES UpdateFebruary 12, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2022

✔ NPI 1174035059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

Also ListedCase ManagementTaxonomy 251B00000X

19740 GOVERNORS HWY STE 118, Flossmoor, IL 60422

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1081352

Proactive Community Services · Flossmoor, IL

Active · expires Mar 16, 2028

CLIA Number14D1081352

Laboratory TypeMobile Laboratory

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorEula L. Burge

Laboratory Phone(708) 248-6166

Laboratory LocationProactive Community Services19740 Governors Hwy - Ste 118, Flossmoor, IL 60422

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JILLIAN DOHERTY M.S. SLP CCC

Speech-Language Pathologist

19740 GOVERNORS HWY STE 118
FLOSSMOOR, IL 60422

Cook County (708) 799-5569

AMY AMANDA BARTELMENT CF-SLP

Speech-Language Pathologist

19740 GOVERNORS HWY STE 118
FLOSSMOOR, IL 60422

Cook County (708) 476-1884

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 Community Services's NPI number?

The NPI number for Proactive Community Services is 1174035059. It was assigned to this organization in the NPPES registry on October 31, 2017.

Where is Proactive Community Services located?

Proactive Community Services is located at 19740 Governors Hwy Ste 118, Flossmoor, IL 60422. The listed phone number is (708) 248-6166.

What is Proactive Community Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Proactive Community Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1081352) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive Community Services was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.