Rios, Edgar

Rios, Edgar is an sole proprietor health care provider with primary practice located at 4152 W 26Th St , Chicago IL 60623-4312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Rios, Edgar can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036048072 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 036048072 Illinois

Profile Details

NPI number 1962588608
LBN Legal business name Rios, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Dec 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962588608 NPPES
Illinois MEDICAID 036048072
Illinois Other 0021608440

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