Organization
GENERATIONS EMPOWERED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAYAL SUD LCSW (FOUNDER)
(708) 308-0453
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE STE 407, CHICAGO, IL 60657-5084
(773) 789-8034
Mailing address
485 FOXBOROUGH TRL, BOLINGBROOK, IL 60440-4835
(708) 738-7038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
IL
Enumeration date
04/23/2019
Last updated
04/23/2019
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