Provider Demographics
NPI:1023607512
Name:RE WELLNESS CHICAGO PLLC
Entity type:Organization
Organization Name:RE WELLNESS CHICAGO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-635-6189
Mailing Address - Street 1:1375 E SCHAUMBURG RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3658
Mailing Address - Country:US
Mailing Address - Phone:630-940-6033
Mailing Address - Fax:
Practice Address - Street 1:1375 E SCHAUMBURG RD STE 260
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3658
Practice Address - Country:US
Practice Address - Phone:630-940-6033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty