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1063442705
RICHARD A. BLOOM
HIGHLAND PARK, IL
NPI
1063442705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-047304)
Enumeration Date
2006-07-04
Last Update Date
2012-05-19
Business Address
-- RICHARD A. BLOOM M.D.
194 LAKESIDE PL
HIGHLAND PARK, IL 60035-5317
Phone number: 773-835-1092
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Mailing Address
-- RICHARD A. BLOOM M.D.
194 LAKESIDE PL
HIGHLAND PARK, IL 60035-5317
Phone number: 773-835-1092
Copy
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