Edgar Rios M.D., S.C

LBN: Edgar Rios M.D., S.C
Edgar Rios M.D., S.C is an health care organization with primary practice located at 4152 W 26Th St , Chicago IL 60623-4312. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Edgar Rios M.D., S.C can be contacted via phone (773) 521-1100, or through Rios, Edgar via phone (773) 521-1100.

Contact Information

Primary practice address
4152 W 26Th St Chicago IL 60623-4312
Phone: (773) 521-1100
Fax: (773) 521-9032
Website:
Map and Directions
Authorized official contact:
Name: Rios, Edgar M.D.,S.C.
Phone: (773) 521-1100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 036048072 Illinois

Profile Details

NPI number 1699981886
LBN Legal business name Edgar Rios M.D., S.C
DBA Doing business as
Authorized official Rios, Edgar M.D.,S.C.
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699981886 NPPES
Illinois Other 0021608512 BLUE CROSS NUMBER
Illinois MEDICAID 036048072 BLUE CROSS NUMBER

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