Bloom, Thea
Bloom, Thea is an individual health care provider with primary practice located at 1950 W Polk St Fl 7 Cub 64, Chicago IL 60612-3726. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Bloom, Thea can be contacted via phone (312) 864-0333.Contact Information
Primary practice address
1950 W Polk St Fl 7 Cub 64
Chicago IL 60612-3726
Phone: (312) 864-0333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | 247.000180 | Illinois |
Profile Details
| NPI number | 1255027363 |
|---|---|
| LBN Legal business name | Bloom, Thea |
| Credentials | CGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2023 |
| Last updated | Apr 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Halbach, Sara Strack
5841 S Maryland Ave # Mc0077 University Of Chicago, Dept Of Human Genetics, Chicago IL 60637-1447 -
Gilats, Michelle Rachel
2300 N Childrens Plz Children'S Memorial Hospital, Box #59, Chicago IL 60614-3363 -
Hinton, Megan M.
250 E Superior St Suite 05-2221, Chicago IL 60611-2914 -
Eldahdah, Lama Therese
2825 N Halsted St , Chicago IL 60657-5105 -
Dineen, Richard Todd
840 S Wood St Department Of Pediatrics (Mc 856), Chicago IL 60612-4325 -
Fallen, Taya Jo
676 N Saint Clair St Suite 880, Chicago IL 60611-2927 -
Lorenz, Rachelle J
5841 S Maryland Ave Mc 0077, Chicago IL 60637-1447 -
Pothast, Rachel
250 E Superior St Rm 5-2221 , Chicago IL 60611-2914