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NPI Code Detail

MEDICARE: ENERGIZE GROUP, INC

MEDICARE: ENERGIZE GROUP, INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1639027311
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENERGIZE GROUP, INC
Provider Business Mailing Address
First Line : 4950 MADISON ST UNIT 1391
Second Line :
City : SKOKIE
State : IL
Zip : 60076-7637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 263 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1611
Country : US
Telephone Number : 773-387-3577
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TANYA STRICK
Credential :
Telephone Number : 773-983-0827
Provider Enumeration Date : 03/18/2026
Last Update Date : 04/30/2026

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Directions to “ENERGIZE GROUP, INC ” Practice Location

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