| NPI | 1558484022 |
|---|---|
| Former Legal Business Name | ALLEN D. BLOOM, MD, LLC |
| Entity Type | Organization |
| Authorized Contact | ALLEN D BLOOM Owner 630-585-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-11-09 |