Evelyn Rivera-Palen

Primary specialty

ContractorTaxonomy code 171W00000X

License

149004792 Issued in IL

Practice address

1740 Oak Avenue
Unite 607
Evanston, IL 60201

Phone

(847) 905-0307

NPI assigned

May 19, 2009

Last updated

May 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1225263361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 OAK AVE",
            "address_2": "UNIT 607",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015987",
            "telephone_number": "847-905-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 OAK AVENUE",
            "address_2": "UNITE 607",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-905-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-PALEN",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "149004792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Ripchik, MD
• Giselle Marie Rishchynski Garcia, LCSW
• Cody Michael Rissman, MD
• James Edward Ritter, LCPC
• Peter Ritz, RD, CSSD
• Cherise Rivers
• Sandy E. Rizo, PT
• Susie Ro, MD
• Nicola A Roache Ashley, PSYD
• Anna Lynn Robbins

• Contractor in Evanston, IL
• Providers in Evanston, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.