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

In Bloom Behavioral Health, PLLC

Organization Clinical Psychologist · NPI 1124866132

In Bloom Behavioral Health, PLLC is a Clinical Psychologist in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10725 S Western Ave
Chicago, IL 60643-3217
Phone: (773) 309-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1124866132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Balfour — Owner/Member · (773) 309-1745
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address10725 S Western Ave, Chicago, IL 60643-3217

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