OrganizationActive
Proactive MD Il Sc
NPI 1881488773 · Primary Care Clinic/Center · O Fallon, IL
Proactive MD Il Sc is a Primary Care Clinic/Center organization in O Fallon, IL (NPI 1881488773).
Provider details
- NPI number
- 1881488773
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kemble, Cmo(864) 501-0751
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1472 N Green Mount Rd
O Fallon, IL 62269-3416
Phone: (730) 240-8040
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Doing business as
- Oe 520 Health Center
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-03-25
Frequently asked questions
- What is Proactive MD Il Sc's NPI number?
- Proactive MD Il Sc's National Provider Identifier (NPI) is 1881488773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive MD Il Sc?
- Proactive MD Il Sc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive MD Il Sc located?
- Proactive MD Il Sc's practice location on file with NPPES is 1472 N Green Mount Rd, O Fallon, IL 62269-3416.
- What is Proactive MD Il Sc's phone number?
- The practice phone number listed in the NPPES registry for Proactive MD Il Sc is (730) 240-8040.
- Who is the authorized official for Proactive MD Il Sc?
- The authorized official listed on Proactive MD Il Sc's NPPES record is Mark Kemble, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive MD Il Sc's NPI active?
- Yes — Proactive MD Il Sc's NPI (1881488773) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.