Bloomberg, Justin D

Bloomberg, Justin D is an individual health care provider with primary practice located at 3 Erie Ct Suite L700, Oak Park IL 60302-2519. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bloomberg, Justin D can be contacted via phone (708) 763-1222.

Contact Information

Primary practice address
3 Erie Ct Suite L700 Oak Park IL 60302-2519
Phone: (708) 763-1222
Fax: (708) 763-1471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X PROCESSING Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1811124282
LBN Legal business name Bloomberg, Justin D
Credentials DO, OD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated May 5th, 2014 - about 12 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.

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