JOHN DOUGLAS BLOOM

GREAT LAKES, IL
NPI1255319364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019023878)
Enumeration Date2006-01-09
Last Update Date2007-07-08
Business Address
Dr. JOHN DOUGLAS BLOOM DDS
3001 6TH ST
GREAT LAKES, IL 60088-2833
Phone number: 847-688-2100
Mailing Address
Dr. JOHN DOUGLAS BLOOM DDS
3001 6TH ST
GREAT LAKES, IL 60088-2833
Phone number: 847-688-2100
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