Organization
PROACTIVE WELLNESS GROUP OF PLAINFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J HUMBERT DC (OWNER)
(815) 782-6903
Entity
Organization
Contact information
Practice address
12426 S VAN DYKE RD, PLAINFIELD, IL 60585-2703
(815) 782-6903
Mailing address
12426 S VAN DYKE RD, PLAINFIELD, IL 60585-2703
(815) 782-6903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/21/2024
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