Proactive MD Il SC
Proactive MD Il SC provides Primary Care Clinic/Center services in O Fallon, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1472 N Green Mount RdO Fallon, IL 62269-3416
Phone: (730) 240-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1881488773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Kemble — Chief Medical Officer · (864) 640-8355 |
| Other names | Oe 520 Health Center |
| NPI enumerated | April 7, 2025 |
| Last updated in NPPES | August 31, 2026 |
| Certification date | August 31, 2026 |
| Mailing address | 86 Villa Rd Ste 100, Greenville, SC 29615-3052 |