Blom, Andre

Blom, Andre is an individual health care provider with primary practice located at 9000 Waukegan Rd Suite 100, Morton Grove IL 60053-2111. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blom, Andre can be contacted via phone (847) 779-6050.

Contact Information

Primary practice address
9000 Waukegan Rd Suite 100 Morton Grove IL 60053-2111
Phone: (847) 779-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-012378 Illinois

Profile Details

NPI number 1558317438
LBN Legal business name Blom, Andre
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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