Individual provider · Type 1 NPI
Jessica Ann Bloom
Specialist · Monee, IL
NPI number
1174702583
Active
Practice location
5617 W Von Ave Unit C
Monee, IL 60449-7917
Fax (708) 534-7715
Mailing address
5617 Von Ave Unit C
Monee, IL 60449-6044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | B45042183855 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Monee
About NPI 1174702583
Jessica Ann Bloom's National Provider Identifier is 1174702583, issued on Nov 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Monee, IL. The record was last updated on Nov 1, 2007.