Proactive Wellness Center – Nurse Practitioner, NPI 1174664882

Proactive Wellness Center is a healthcare provider. based in Libertyville, Illinois. specializing in Nurse Practitioner. The NPI Number for Proactive Wellness Center is 1174664882

Main info

Organization
Name
Proactive Wellness Center
NPI
1174664882
Phone
(847) 549-6044
Address
14044 W PETRONELLA DR
Authorized Official
MS. MARY I STOWELL PRESIDENT C.N.P.
Enumeration Date
8 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Proactive Wellness Center

  • 14044 W PETRONELLA DR

    SUITE 3

    LIBERTYVILLE, IL 600489656

    Phone: (847) 549-6044

    Fax: (847) 549-6058

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Reviews

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Frequently asked questions

Is Proactive Wellness Center listed with a National Provider Identifier?
Yes — Proactive Wellness Center has NPI 1174664882 on file in the registry.
Active or inactive — what applies to Proactive Wellness Center?
You should see Proactive Wellness Center as active in CMS-hosted NPPES data.
What area of care is associated with Proactive Wellness Center?
Proactive Wellness Center's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Proactive Wellness Center?
Directory geography for Proactive Wellness Center centers on Libertyville, Illinois.
When was this NPI issued?
Enumeration for Proactive Wellness Center is noted as February 8, 2007 where the registry provides it.

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