Organization
PROACTIVE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EULA BURGE (C.E.O/EXECUTIVE DIRECTOR)
(708) 248-6166
Entity
Organization
Contact information
Practice address
19740 GOVERNORS HWY STE 118, FLOSSMOOR, IL 60422-2085
(708) 248-6166
(866) 298-7558
Mailing address
19740 GOVERNORS HWY STE 118, FLOSSMOOR, IL 60422-2085
(708) 248-6166
(866) 298-7558
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
02/12/2022
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