Bloom Plastic Surgery SC
Bloom Plastic Surgery SC provides Specialist services 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 801Chicago, IL 60611-2999 Not confirmed with CMS for 10 years — call before visiting
Phone: (312) 549-8961
Fax: (312) 549-8962
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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 number | 1457805244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Bloom — Owner · (847) 826-9239 |
| NPI enumerated | August 9, 2016 |
| Last updated in NPPES | August 9, 2016 |
| Mailing address | 150 E Huron St, Suite 801, Chicago, IL 60611-2999 |
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