PROACTIVE MD IL SC
NPI 1881488773
Clinic/Center - Primary Care in O Fallon, IL

Q: What is Proactive MD Il Sc's NPI number?

The NPI number for Proactive MD Il Sc is 1881488773. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as OE 520 Health Center.

Q: What is Proactive MD Il Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 07, 2025

1472 N GREEN MOUNT RD, O FALLON, IL 62269(730) 240-8040 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Proactive Md Il Sc NPPES

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

PROACTIVE MD IL SC (NPI 1881488773), doing business as Oe 520 Health Center, is a healthcare organization registered as a primary care in O Fallon, Illinois and active in the NPI registry since April 2025. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1881488773

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePROACTIVE MD IL SC

Location Address1472 N GREEN MOUNT RDO Fallon, IL 62269-3416

Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751

Phone(730) 240-8040

Organization SubpartNo

Authorized OfficialMark KembleCmo · (864) 501-0751

Enumeration DateApril 7, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1881488773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1472 N GREEN MOUNT RD, O Fallon, IL 62269

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Other Names 1

Doing Business AsOe 520 Health Center

Other Providers at the Same Location NPPES

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

MEGAN KRISTINE YOUNG APRN, FNP-BC

Nurse Practitioner

1472 N GREEN MOUNT RD
O FALLON, IL 62269

St. Clair County (618) 680-0860

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 MD Il Sc's NPI number?

The NPI number for Proactive MD Il Sc is 1881488773. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as OE 520 Health Center.

Where is Proactive MD Il Sc located?

Proactive MD Il Sc is located at 1472 N Green Mount Rd, O Fallon, IL 62269. The listed phone number is (730) 240-8040.

What is Proactive MD Il Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive MD Il Sc was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.