John Douglas Bloom in Great Lakes - Dentist

What is the unique 10-digit identification code assigned to John Douglas Bloom by the Centers for Medicare & Medicaid Services?

The John Douglas Bloom has been issued the NPI (National Provider Identifier) 1255319364, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John Douglas Bloom's physical address?

The John Douglas Bloom is physically located at 3001 6Th St, in the city of Great Lakes, IL, with the postal code 600882833.

What is John Douglas Bloom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Douglas Bloom's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the John Douglas Bloom receive the assignment of its 1255319364 from the Centers for Medicare & Medicaid Services?

The John Douglas Bloom was issued its 1255319364 by the Centers for Medicare & Medicaid Services on 2006-01-09.

As of what date was the information pertaining to John Douglas Bloom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Douglas Bloom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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