Proactive MD Il Sc

Proactive MD Il Sc is a healthcare organization registered as Primary Care Clinic/Center in O Fallon, IL, holding Type 2 (organization) NPI 1881488773 since 2025. The authorized official on file is Mark Kemble, Cmo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1881488773
Entity type	Organization (Type 2)
Legal business name	Proactive MD Il Sc
Practice address	1472 N GREEN MOUNT RD, O Fallon, IL, 62269
Phone	7302408040
Enumeration date	2025-04-07
Last updated in NPPES	2025-04-07

Authorized official

Name	Mark Kemble
Title	Cmo
Phone	8645010751

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2300X	Primary Care Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Proactive MD Il Sc
NPI: 1881488773
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 1472 N GREEN MOUNT RD, O Fallon, IL, 62269

Providers at this address

NPI	Name	Type	Specialty	Location
1619741790	Megan Young	Individual	Nurse Practitioner	O Fallon, IL

Verify this record

Cross-check NPI 1881488773 against the authoritative CMS record: view Proactive MD Il Sc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-07. Verify at npiregistry.cms.hhs.gov.

Where is Proactive MD Il Sc located?

The practice location on file with NPPES is in O Fallon, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-07.