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1255027363
THEA BLOOM
CHICAGO, IL
NPI
1255027363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: IL 247.000180)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
THEA BLOOM CGC
1950 W POLK ST FL 7 CUB 64
CHICAGO, IL 60612-3726
Phone number: 312-864-0333
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Mailing Address
THEA BLOOM CGC
3647 N KEELER AVE
CHICAGO, IL 60641-3014
Phone number: 773-208-5239
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