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Individual

MS. JOAN BLOOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCC/SLP

Contact information

Practice address
ST JOHN'S HOSPITAL PEDI REHAB, 800 E. CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 757-6545
Mailing address
ST JOHN'S HOSPITAL PEDI REHAB, 800 E. CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 757-6545

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005168
IL

Other

Enumeration date
12/21/2007
Last updated
08/03/2021
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