Individual
RAYMOND MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, RN
Contact information
Practice address
3639 W MONTROSE AVE APT 3E, CHICAGO, IL 60618-1125
(773) 931-2648
Mailing address
8221 MOURNING DOVE CT, WOODRIDGE, IL 60517-4508
(773) 931-2648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.402567
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209022888
IL
Other
Enumeration date
02/14/2021
Last updated
04/16/2025
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