Richard A. Bloom, M.D.

NPI #1063442705 in Highland Park, Illinois

Provider Information

NPI Number: 1063442705
Entity Type: Individual
Name: Richard A. Bloom, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: May 19, 2012

Practice Location

Address: 194 LAKESIDE PL
City: Highland Park
State: Illinois
ZIP Code: 60035-5317
Phone: (773) 835-1092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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