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

Dr. Jacob Maxwell-Phillip Bloom, MD

Individual provider Surgery of the Hand (Plastic Surgery) Physician · NPI 1770757130

Dr. Jacob Maxwell-Phillip Bloom, MD is a Plastic and Reconstructive Surgery in Chicago, Illinois. Qualified in 2008, 18 years ago. Practices with Bloom Plastic Surgery SC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 E Delaware Pl Ste 501
Chicago, IL 60611-1666
Phone: (312) 549-8691
Fax: (312) 549-8692
Show map & directions

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

Additional practice locations (1)

  • 12 Salt Creek Ln Ste 125, Hinsdale, IL 60521-8646 — (312) 549-8691

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 036134552 (IL)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 036134552 (IL)

Record details

NPI number1770757130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bloom Plastic Surgery Sc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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