Organization
PROACTIVE ALTERNATIVES PC
Active
Other names
Proactive Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY I STOWELL C.N.P. (PRESIDENT)
(847) 549-6044
Entity
Organization
Contact information
Practice address
14044 W PETRONELLA DR, SUITE 3, LIBERTYVILLE, IL 60048-9656
(847) 549-6044
(847) 549-6058
Mailing address
14044 W PETRONELLA DR, SUITE 3, LIBERTYVILLE, IL 60048-9656
(847) 549-6044
(847) 549-6058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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