Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Plastic Surgery SC

Organization Specialist · NPI 1457805244

Bloom Plastic Surgery SC is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

150 E Huron St Ste 801
Chicago, IL 60611-2999
Phone: (312) 549-8961
Fax: (312) 549-8962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 336.095798 (IL)

Record details

NPI number1457805244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Bloom — Owner · (847) 826-9239
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 9, 2016
Mailing address150 E Huron St, Suite 801, Chicago, IL 60611-2999

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