WILLIAM DAVID BLOOMER

EVANSTON, IL
NPI1033158639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  036083680)
Enumeration Date2006-06-06
Last Update Date2007-07-08
Business Address
-- WILLIAM DAVID BLOOMER M.D.
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2590
Mailing Address
-- WILLIAM DAVID BLOOMER M.D.
9818 EAGLE WAY
CHICAGO, IL 60678-1098
Phone number: 847-570-2587