{"npi":"1699981886","type":"NPI-2","status":"active","name":{"display":"Edgar Rios M.D., S.C","other":[],"organization_name":"EDGAR RIOS M.D., S.C","authorised_official":"Ricardo Rios"},"specialty":{"primary_taxonomy":"261QM2500X","primary_taxonomy_description":"Medical Specialty Clinic/Center","slug":"medical-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM2500X","description":"Medical Specialty Clinic/Center","primary":true,"state":"IL","license":"036048072"}]},"addresses":[{"purpose":"LOCATION","street_1":"4152 W 26TH ST","city":"CHICAGO","state":"IL","postal_code":"606234312","country_code":"US","phone":"7735211100","fax":"7735219032"},{"purpose":"MAILING","street_1":"203 MIDWEST CLUB PKWY","city":"OAK BROOK","state":"IL","postal_code":"605232508","country_code":"US","phone":"7735211100","fax":"7735219032"}],"license":{"state":"IL","number":"036048072"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036048072","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"0021608512","state":"IL","issuer":"BLUE CROSS NUMBER"},{"type_code":"01","label":"Other","value":"1881957405","state":"IL","issuer":"NPI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080312000037","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"8224113477"}]},"enumeration_date":"2007-05-15","last_updated":"2024-08-09","_meta":{"source":"NPPES","snapshot_date":"2024-08-09","doc_url":"https://findmynpi.com/api"}}