RICHARD A. BLOOM

HIGHLAND PARK, IL
NPI1063442705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-047304)
Enumeration Date2006-07-04
Last Update Date2012-05-19
Business Address
-- RICHARD A. BLOOM M.D.
194 LAKESIDE PL
HIGHLAND PARK, IL 60035-5317
Phone number: 773-835-1092
Mailing Address
-- RICHARD A. BLOOM M.D.
194 LAKESIDE PL
HIGHLAND PARK, IL 60035-5317
Phone number: 773-835-1092
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