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1033158639
WILLIAM DAVID BLOOMER
EVANSTON, IL
NPI
1033158639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 036083680)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
-- WILLIAM DAVID BLOOMER M.D.
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2590
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Mailing Address
-- WILLIAM DAVID BLOOMER M.D.
9818 EAGLE WAY
CHICAGO, IL 60678-1098
Phone number: 847-570-2587
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