Individual ProviderEdmundo RiojaObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address1044 N Mozart St, Chicago, IL 60622-2789(773) 292-2600(708) 771-5469PECOS EnrollmentBased on the most recent information from CMS, provider Edmundo Rioja does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1235248592Provider TypeIndividualFull NameRioja, EdmundoCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/30/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address1044 N Mozart St, Chicago, IL 60622-2789Phone(773) 292-2600FaxUnlisted FaxMailing LocationMailing Address1506 Monroe Ave, River Forest, IL 60305-1130Phone(708) 771-5469Fax(708) 771-2372Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinois