Individual
RUTHEVA DIZON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 PARK AVE, RIVERFOREST, IL 60305
(708) 771-2950
(708) 771-2950
Mailing address
146 PARK AVE, RIVERFOREST, IL 60305
(708) 771-2950
(708) 771-2950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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