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Individual

DR. JONATHAN BLOOMBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 SKOKIE BLVD, #307, NORTHBROOK, IL 60062
(847) 291-0088
(847) 291-7607
Mailing address
950 SKOKIE BLVD, #307, NORTHBROOK, IL 60062
(847) 291-0088
(847) 291-7607

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
IL

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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