BERNHARD EMILE BLOM

NORTH CHICAGO, IL
NPI1811910656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071001963)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. BERNHARD EMILE BLOM Ph.D.
3001 GREEN BAY RD PSYCHOLOGY SERVICE, VA MEDICAL CENTER (116B)
NORTH CHICAGO, IL 60064
Phone number: 224-610-3234
Mailing Address
Dr. BERNHARD EMILE BLOM Ph.D.
725 N MIDLOTHIAN RD
MUNDELEIN, IL 60060-1255
Phone number: 224-610-3234