Healthcare Provider Details

I. General information

NPI: 1417732868
Provider Name (Legal Business Name): TLK EMPOWERMENT SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 RIDGE RD STE 206
HOMEWOOD IL
60430-1758
US

IV. Provider business mailing address

1820 RIDGE RD STE 206
HOMEWOOD IL
60430-1758
US

V. Phone/Fax

Practice location:
  • Phone: 708-362-2405
  • Fax:
Mailing address:
  • Phone: 708-362-2405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TAWANA TRAMMELL
Title or Position: OWNER/CEO
Credential:
Phone: 708-362-2405