MEDICARE: ENERGIZE GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0850X	Adult Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1639027311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENERGIZE GROUP, INC

Provider Business Mailing Address
First Line	:	3055 W SHERWIN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 W SHERWIN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1133
Country	:	US
Telephone Number	:	773-387-3577
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TANYA STRICK
Credential	:
Telephone Number	:	847-564-0505

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ENERGIZE GROUP, INC ” Practice Location

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