Individual
DR. ERIC N. BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 LEHIGH AVE, SUITE #145, GLENVIEW, IL 60026-1691
(847) 998-0155
(847) 998-9125
Mailing address
2300 LEHIGH AVE, SUITE #145, GLENVIEW, IL 60026-1691
(847) 998-0155
(847) 998-9125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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