Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RIMYA
Active
Organization
RIMYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIETA PRISSELL PEREZ MSW, LCSW (CEO/CLINICIAN)
(708) 465-1293
Entity
Organization
Contact information
Practice address
2545 W DIVERSEY AVE, CHICAGO, IL 60647-7172
(708) 465-1293
Mailing address
2545 W DIVERSEY AVE, CHICAGO, IL 60647-7172
(708) 465-1293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
305R00000X
Preferred Provider Organization
149016540
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.016540
LICENSE CLINICAL SOCIAL WORKER
IL
Enumeration date
02/15/2014
Last updated
09/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up