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

Andre Blom, PT

Individual provider Physical Therapist · NPI 1558317438

Andre Blom, PT is a Physical Therapist in Morton Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2111
Phone: (847) 779-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-012378 (IL)

Record details

NPI number1558317438
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESFebruary 1, 2013
Mailing address900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359

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