MEDICARE: RICARDO R RIOS M.D.

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	208800000X	Urology Physician	13124-320	WI
2	208800000X	Urology Physician	036-144221	IL

General Provider Information

NPI Number	:	1881957405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO R RIOS M.D.

Provider Business Mailing Address
First Line	:	5600 W ADDISON ST STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4468
Country	:	US
Telephone Number	:	773-725-0760
Fax Number	:	773-725-9554

Provider Business Practice Location Address
First Line	:	5600 W ADDISON ST STE 305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4468
Country	:	US
Telephone Number	:	773-725-0760
Fax Number	:	773-725-9554

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

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	11/14/2025

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