PROACTIVE MD IL SC
NPI 1922759349
Clinic/Center - Primary Care in Deerfield, IL

Active since January 18, 2022
4 PARKWAY NORTH BLVD, DEERFIELD, IL 60015(847) 943-9950 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Jan 18, 2022 (2 updates tracked since 2022).

About Proactive Md Il Sc NPPES

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

PROACTIVE MD IL SC (NPI 1922759349), doing business as Proactive Md Cfi Deerfield Health Center, is a healthcare organization registered as a primary care in Deerfield, Illinois and active in the NPI registry since January 2022. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1922759349
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD IL SC
Location Address4 PARKWAY NORTH BLVDDeerfield, IL 60015-2502
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 501-0751
Enumeration DateJanuary 18, 2022
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1922759349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4 PARKWAY NORTH BLVD, Deerfield, IL 60015

Other Names 1

Doing Business AsProactive Md Cfi Deerfield Health Center

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 1922759349. It was assigned to this organization in the NPPES registry on January 18, 2022. The provider is doing business as PROACTIVE MD CFI Deerfield Health Center.

Where is Proactive MD Il Sc located?

Proactive MD Il Sc is located at 4 Parkway North Blvd, Deerfield, IL 60015. The listed phone number is (847) 943-9950.

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 10, 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.