Provider Demographics
NPI:1295389666
Name:ENERGIZE GROUP, INC
Entity Type:Organization
Organization Name:ENERGIZE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-387-3577
Mailing Address - Street 1:4950 MADISON ST UNIT 1391
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-7637
Mailing Address - Country:US
Mailing Address - Phone:773-387-3577
Mailing Address - Fax:847-584-2604
Practice Address - Street 1:263 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1611
Practice Address - Country:US
Practice Address - Phone:773-387-3577
Practice Address - Fax:847-584-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty