# RHMOELLERENTERPRISES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811185770
- **Authorized official:** DR. RAYMOND HENRY MOELLER MD (OWNER)
- **Authorized official phone:** (630) 573-0360

## Contact information

- **Practice address:** 120 OAKBROOK CTR, \#204, OAK BROOK, IL 60523-4716
- **Practice address phone:** (630) 573-0360
- **Mailing address:** 120 OAKBROOK CTR, \#204, OAK BROOK, IL 60523-4716
- **Mailing address phone:** (630) 573-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 11/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2201654 | BLUE CROSS, BLUE SHIELD | IL |
| 01 | — | K19185 | PIN\# | IL |