Provider Demographics
NPI:1902128010
Name:RELIEVE PHYSICAL THERAPY & WELLNESS
Entity Type:Organization
Organization Name:RELIEVE PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:PASQUINELLI
Authorized Official - Last Name:BARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-203-5668
Mailing Address - Street 1:16567 PASTURE DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-4578
Mailing Address - Country:US
Mailing Address - Phone:708-203-5668
Mailing Address - Fax:
Practice Address - Street 1:14236 MCCARTHY RD
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-4611
Practice Address - Country:US
Practice Address - Phone:708-203-5668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.010445261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy