Individual
MISS DENISE MARIE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5225 OLD ORCHARD RD, SKOKIE, IL 60077-4405
(847) 663-1020
Mailing address
5225 OLD ORCHARD ROAD, SUITE 18, SKOKIE, IL 60077-1027
(847) 663-1020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006969
IL
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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