Bloom, Jacob Maxwell-Phillip

Bloom, Jacob Maxwell-Phillip is an individual health care provider with primary practice located at 1 E Delaware Pl Ste 501 , Chicago IL 60611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Bloom, Jacob Maxwell-Phillip can be contacted via phone (312) 535-3721.

Contact Information

Primary practice address
1 E Delaware Pl Ste 501 Chicago IL 60611
Phone: (312) 535-3721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA254962 Massachusetts
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 036134552 Illinois

Profile Details

NPI number 1770757130
LBN Legal business name Bloom, Jacob Maxwell-Phillip
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 25th, 2019 - 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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