MEDICARE: TRCWELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1104775030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRCWELLNESS

Provider Business Mailing Address
First Line	:	1105 W CHICAGO AVE STE 301
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-5771
Country	:	US
Telephone Number	:	312-610-3708
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 W CHICAGO AVE STE 301
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-5771
Country	:	US
Telephone Number	:	312-610-3708
Fax Number	:

Authorized Official
Title or Position	:	CHIEF PROGRAM OFFICE
Name	:	DR. SHERILYNN ASUOHA
Credential	:	LCPC
Telephone Number	:	312-610-3708

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	03/20/2026

Similar Medicare Providers

1912161621 — DR. MELISSA K DURHAM PT, DPT
Practice Location Address:

324 W WILLOW ST , 1R
CHICAGO, IL
60614-5771

Practice Phone: 312-787-3937
Practice Fax:

1780379784 — DR. STACEE LEIGH-ANNE REICHERZER LLPC
Practice Location Address:

828 W GRACE ST APT 1508
CHICAGO, IL
60613-5771

Practice Phone: 312-841-2205
Practice Fax:

1932898558 — YAEJI LEE MSW
Practice Location Address:

1739 N ELSTON AVE
CHICAGO, IL
60642-1544

Practice Phone: 773-687-9241
Practice Fax:

1609720721 — DEBRA ANN WELLNESS, PLLC
Practice Location Address:

1311 N HALSTED ST APT 702
CHICAGO, IL
60642-2665

Practice Phone: 312-285-5769
Practice Fax:

1740115898 — DEBRA ANN WELLNESS PLLC
Practice Location Address:

1311 N HALSTED ST
CHICAGO, IL
60642-2661

Practice Phone: 312-285-5769
Practice Fax:

1497095731 — EMILY MASON
Practice Location Address:

1422 W WILLOW ST , #101
CHICAGO, IL
60642-8978

Practice Phone: 312-399-0370
Practice Fax:

Directions to “TRCWELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.