Organization
NEUROPSYCHIATRIC EVALUATION AND TREATMENT CENTER
Active
Other names
Insomnia Treatment Center, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W BLOOM M.D. (PRESIDENT)
(847) 657-6007
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE, SUITE 404, GLENVIEW, IL 60026-5805
(847) 657-6007
(847) 657-6412
Mailing address
3633 W LAKE AVE, SUITE 404, GLENVIEW, IL 60026-5805
(847) 657-6007
(847) 657-6412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-069110
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
036-069110
IL
Other
Enumeration date
12/01/2005
Last updated
09/25/2008
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