Bloom, David

Bloom, David is an individual health care provider with primary practice located at 3020 Warbler Pl , Highland Park IL 60035-1267. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bloom, David can be contacted via phone (847) 903-7623.

Contact Information

Primary practice address
3020 Warbler Pl Highland Park IL 60035-1267
Phone: (847) 903-7623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1508940 Wisconsin

Profile Details

NPI number 1417234782
LBN Legal business name Bloom, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Nov 14th, 2011 - about 14 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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