SPENCER ROBERT BLOOM

CHICAGO, IL
NPI1245430057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.017073)
Enumeration Date2007-07-19
Last Update Date2007-07-19
Business Address
Dr. SPENCER ROBERT BLOOM DDS
5530 W MONTROSE AVE
CHICAGO, IL 60641-1330
Phone number: 773-777-3309
Mailing Address
Dr. SPENCER ROBERT BLOOM DDS
5530 W MONTROSE AVE
CHICAGO, IL 60641-1330
Phone number: 773-777-3309
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