Healthcare Provider Details

I. General information

NPI: 1790644219
Provider Name (Legal Business Name): EMPOWER HER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W GARFIELD BLVD
CHICAGO IL
60636-1210
US

IV. Provider business mailing address

1717 W GARFIELD BLVD
CHICAGO IL
60636-1210
US

V. Phone/Fax

Practice location:
  • Phone: 312-545-4089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KANDACE CURTISS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 312-545-4089