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Organization

PROACTIVE MD IL SC

Active
Other names
PROACTIVE MD CFI Deerfield Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARK KEMBLE MD (CMO)
(864) 501-0751
Entity
Organization

Contact information

Practice address
4 PARKWAY NORTH BLVD, DEERFIELD, IL 60015-2502
(847) 943-9950
Mailing address
124 ALLAWOOD CT, SIMPSONVILLE, SC 29681-6207
(864) 501-0751

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/18/2022
Last updated
04/10/2025
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