Bloomwell Family Clinic Pllc
NPI #1316819360 in Wonder Lake, Illinois
Provider Information
- NPI Number
- 1316819360
- Entity Type
- Organization
- Organization Name
- Bloomwell Family Clinic Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 19, 2025
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 8702 SEDGE MEADOW DR
- City
- Wonder Lake
- State
- Illinois
- ZIP Code
- 60097-7604
- Phone
- (312) 399-1725
Authorized Official
- Name
- DEIDRA HALL, APN
- Title
- OWNER
- Phone
- (312) 399-1725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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