Bloom, Zachary D.

Bloom, Zachary D. is an sole proprietor health care provider with primary practice located at 3633 West Lake Ave Suite 404, Glenview IL 60026. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bloom, Zachary D. can be contacted via phone (847) 204-0943.

Contact Information

Primary practice address
3633 West Lake Ave Suite 404 Glenview IL 60026
Phone: (847) 204-0943
Fax: (407) 522-4671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166001123 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.010958 Illinois

Profile Details

NPI number 1184917361
LBN Legal business name Bloom, Zachary D.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2011
Last updated May 2nd, 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.

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