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

Mr. Charles Warren Bloom, BS, MS, CTRS

Individual provider Recreation Therapist · NPI 1750588208

Mr. Charles Warren Bloom, BS, MS, CTRS is a Recreation Therapist in Oak Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

15900 S Cicero Ave
Oak Forest, IL 60452-4006
Phone: (708) 633-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1750588208
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , MS , CTRS
Sole proprietorYes
NPI enumeratedJune 28, 2007
Last updated in NPPESJuly 8, 2007

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