Bloom, Ronald A
Bloom, Ronald A is an individual health care provider with primary practice located at 2501 Compass Rd Ste 130, Glenview IL 60026-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bloom, Ronald A can be contacted via phone (847) 677-1170.Contact Information
Primary practice address
2501 Compass Rd Ste 130
Glenview IL 60026-8000
Phone: (847) 677-1170
Fax: (847) 677-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036094612 | Illinois |
Profile Details
| NPI number | 1659353779 |
|---|---|
| LBN Legal business name | Bloom, Ronald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Apr 24th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659353779 | NPPES |
| Illinois | MEDICAID | 036094612 | |
| Illinois | Other | 100014168 |
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