Bloom, Jessica
Bloom, Jessica is an sole proprietor health care provider with primary practice located at 3633 W Lake Ave Ste 308 , Glenview IL 60026-5803. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bloom, Jessica can be contacted via phone (727) 237-6735.Contact Information
Primary practice address
3633 W Lake Ave Ste 308
Glenview IL 60026-5803
Phone: (727) 237-6735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180010738 | Illinois |
Profile Details
| NPI number | 1144633520 |
|---|---|
| LBN Legal business name | Bloom, Jessica |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | May 12th, 2020 - about 4 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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