Bloom, Allen David

Bloom, Allen David is an individual health care provider with primary practice located at 2040 Ogden Ave Suite 115, Aurora IL 60504-7206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloom, Allen David can be contacted via phone (630) 585-0200.

Contact Information

Primary practice address
2040 Ogden Ave Suite 115 Aurora IL 60504-7206
Phone: (630) 585-0200
Fax: (630) 585-7396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036067856 Illinois

Profile Details

NPI number 1851409387
LBN Legal business name Bloom, Allen David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 8th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851409387 NPPES
Illinois MEDICAID 036067856

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