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

Dr. John Douglas Bloom, DDS

Individual provider Dentist · NPI 1255319364

Dr. John Douglas Bloom, DDS is a Dentist in Great Lakes, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3001 6th St
Great Lakes, IL 60088-2833
Phone: (847) 688-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1255319364
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3001 6th St, Great Lakes, IL 60088-2833

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