Healthcare Provider Details

I. General information

NPI: 1922619022
Provider Name (Legal Business Name): HEALTHGEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MERCHANDISE MART PLZ STE 1212
CHICAGO IL
60654-4342
US

IV. Provider business mailing address

6333 S COUNTY LINE RD
BURR RIDGE IL
60527-4866
US

V. Phone/Fax

Practice location:
  • Phone: 312-598-2090
  • Fax:
Mailing address:
  • Phone: 312-860-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PUNEET GREWAL
Title or Position: CEO
Credential: MD, CARDIOLOGIST
Phone: 312-860-0770