Rutheva Dizon-moore, MD is a
Ophthalmology physician based in Riverforest, Illinois. Rutheva Dizon-moore is licensed to practice in Illinois (license number ) and her current practice location is 146 Park Ave, Riverforest, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 771-2950.
NPI number for Rutheva Dizon-moore is 1982776258 and her current mailing address is 146 Park Ave, Riverforest, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982776258.
Physician's Profile
Full Name | Rutheva Dizon-moore |
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Gender | Female |
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Speciality | Ophthalmology |
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Location | 146 Park Ave, Riverforest, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982776258
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Rutheva Dizon-moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982776258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rutheva Dizon-moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rutheva Dizon-moore, MD 146 Park Ave, Riverforest, IL 60305 Ph: (708) 771-2950 | Rutheva Dizon-moore, MD 146 Park Ave, Riverforest, IL 60305 Ph: (708) 771-2950 |
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