Individual
RAINEY LITTLE BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.463098
IL
363L00000X
Nurse Practitioner
11880
MN
363L00000X
Nurse Practitioner
Primary
209032151
IL
Other
Enumeration date
05/06/2024
Last updated
03/10/2026
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