Individual provider Active NPI

Raymond Moy, DNP, RN

  • Primary Care Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1164015848
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209022888 Issued in IL
Practice address
401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Phone
(779) 252-8212
Fax
(312) 278-4836
NPI assigned
Feb 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.402567 IL
Primary Care Nurse Practitioner 363LP2300X 209022888 IL Primary

Addresses

Primary practice location

401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264

Mailing address

401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Phone (779) 252-8212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250221003222 CA Practitioner - Nurse Practitioner 8527588425 Reassigns benefits to 1 organization
I20250424001790 IL Practitioner - Nurse Practitioner 8527588425 Reassigns benefits to 1 organization
Practice locations: Woodridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

1525 Oxford LN
Naperville, IL 60565-1511
Phone (609) 585-1122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.402567ILMDRegistered Nurse
209022888ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Health Medical Solutions PC CurrentSince Jan 1, 2025 Accepting new patients
First Docs PC CurrentSince Apr 2, 2025 Accepting new patients

Locations

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

12525 Renaissance Cir
Homer Glen, IL 60491
Phone (708) 301-0800

1525 Oxford Ln
Naperville, IL 60565
Phone (224) 441-7428

14601 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 349-8300

10426 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 443-7400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164015848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "779-252-8212",
            "fax_number": "312-278-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "779-252-8212",
            "fax_number": "312-278-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "RAYMOND",
        "credential": "DNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.402567",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209022888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.