Individual
DR. JUSTIN D BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, OD
Contact information
Practice address
3 ERIE CT, SUITE L700, OAK PARK, IL 60302-2519
(708) 763-1222
(708) 763-1471
Mailing address
3 ERIE CT, SUITE L700, OAK PARK, IL 60302-2519
(708) 763-1222
(708) 763-1471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
PROCESSING
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
05/05/2014
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