Georgette Bloom is a Professional in Waukegan, Illinois. Georgette Bloom practices all healthcare services and medical treatments related to Professional. The NPI Number for Georgette Bloom is 1528088895. The last update date is 2012-08-28.
Georgette Bloom's current location address is 3010 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8473778180 and fax number 8479845682. The mailing address for Georgette Bloom is 3010 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgette Bloom |
|---|---|
| Address | 3010 Grand Ave, Waukegan, Illinois |
| Phone Number | 8473778180 |
| Fax Number | 8479845682 |
| Sole Proprietor | N |
| Credentials | CPC |
NPI Number Detail
| NPI Number | 1528088895 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 3010 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600852321 |
| Phone Number | 8473778180 |
| Fax Number | 8479845682 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180.001111 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180001111 | IL | -- |
Post Comment/ Review Below
What is the Georgette Bloom's 1528088895?
The Georgette Bloom's NPI (National Provider Identifier) Number is 1528088895. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Georgette Bloom's facilities are situated?
The facilities of Georgette Bloom are physically located at the following address: 3010 Grand Ave, Waukegan, IL, 600852321.
What is Georgette Bloom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Georgette Bloom's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did Georgette Bloom receive its 1528088895 assignment from the Centers for Medicare & Medicaid Services?
The Georgette Bloom was assigned its 1528088895 on 2006-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Georgette Bloom's information last updated?
The Georgette Bloom's information was last updated on 2012-08-28.