MEDICARE: DR. DAVID RIOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01070986A	IN

General Provider Information

NPI Number	:	1184817918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RIOS MD

Provider Business Mailing Address
First Line	:	1827 CANTERFIELD PKWY W
Second Line	:
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-9021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1827 CANTERFIELD PKWY W
Second Line	:
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-9021
Country	:	US
Telephone Number	:	815-344-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	08/23/2013

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