Blom, Bernhard Emile

Blom, Bernhard Emile is an individual health care provider with primary practice located at 3001 Green Bay Rd Psychology Service, Va Medical Center (116B), North Chicago IL 60064. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blom, Bernhard Emile can be contacted via phone (224) 610-3234.

Contact Information

Primary practice address
3001 Green Bay Rd Psychology Service, Va Medical Center (116B) North Chicago IL 60064
Phone: (224) 610-3234
Fax: (224) 610-3869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1811910656
LBN Legal business name Blom, Bernhard Emile
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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