Individual provider · Type 1 NPI
Jacob Maxwell-Phillip Bloom, MD
Plastic and Reconstructive Surgery Physician · Chicago, IL
NPI number
1770757130
Active
Practice location
1 E Delaware Pl Ste 501
Chicago, IL 60611-1666
Fax (312) 549-8692
Other practice locations
- 12 Salt Creek Ln Ste 125, Hinsdale, IL 60521-8646 · (312) 549-8691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 036134552 (IL) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 036134552 (IL) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
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About NPI 1770757130
Jacob Maxwell-Phillip Bloom, MD's National Provider Identifier is 1770757130, issued on Apr 16, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Chicago, IL. The record was last updated on Feb 19, 2025.