Proactive Alternatives PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PROACTIVE ALTERNATIVES PC

Practice address

14044 W Petronella Dr
Suite 3
Libertyville, IL 60048-9656

Phone

(847) 549-6044

Fax

(847) 549-6058

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mary I Stowell, C.N.P.

Title

President

Phone

(847) 549-6044

Specialties & licenses 1

Addresses

Other names 1

• Proactive Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174664882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W PETRONELLA DR",
            "address_2": "SUITE 3",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489656",
            "telephone_number": "847-549-6044",
            "fax_number": "847-549-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W PETRONELLA DR",
            "address_2": "SUITE 3",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489656",
            "telephone_number": "847-549-6044",
            "fax_number": "847-549-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE ALTERNATIVES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-549-6044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.N.P."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prairie Home Healthcare Services Corporation
• Morgan Prellberg
• Wayne Andrew Prepura, PHD COUNSELLING PSYC
• Kevin M Prescott, MD
• Victoria Priola, PSYD
• George Michael Procento, M.D.
• Caitlyn Proepper
• Brooke Projansky, MA, LCPC
• Dean Ames Projansky
• Olga Prutnikov, MSW, LCSW

• Nurse Practitioner in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.