Individual
BARI BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
330 W DIVERSEY PKWY APT 2506, CHICAGO, IL 60657-6209
(847) 571-8525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1300448
IL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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