| Rimya | |
|
2545 W Diversey Ave Chicago IL 60647-7172 | |
| (708) 465-1293 | |
| Not Available |
| Full Name | Rimya |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2545 W Diversey Ave, Chicago, Illinois |
| Authorized Official Name and Position | Julieta Prissell Perez (CEO/CLINICIAN) |
| Authorized Official Contact | 7084651293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rimya 2545 W Diversey Ave Chicago IL 60647-7172 Ph: (708) 465-1293 | Rimya 2545 W Diversey Ave Chicago IL 60647-7172 Ph: (708) 465-1293 |
| NPI Number | 1891119590 |
|---|---|
| Provider Enumeration Date | 02/15/2014 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891119590 | NPI | - | NPPES |
| 149.016540 | Other | IL | LICENSE CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | 149016540 (Illinois) | Secondary |
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