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1457805244
BLOOM PLASTIC SURGERY SC
CHICAGO, IL
NPI
1457805244
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Entity Type
Organization
Authorized Contact
JACOB BLOOM
Owner
847-826-9239
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 336.095798)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
BLOOM PLASTIC SURGERY SC
150 E HURON ST SUITE 801
CHICAGO, IL 60611-2999
Phone number: 312-549-8961
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Mailing Address
BLOOM PLASTIC SURGERY SC
150 E HURON ST SUITE 801
CHICAGO, IL 60611-2999
Phone number: 312-549-8961
Copy
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