Provider Demographics
NPI:1609224211
Name:EMPOWER HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:EMPOWER HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FINE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:630-886-6410
Mailing Address - Street 1:495 N COMMONS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8222
Mailing Address - Country:US
Mailing Address - Phone:630-405-5125
Mailing Address - Fax:
Practice Address - Street 1:495 N COMMONS DR STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8222
Practice Address - Country:US
Practice Address - Phone:630-405-5125
Practice Address - Fax:630-708-8416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health