Individual
HOLLEY RENA BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 W CULLOM AVE APT 1, CHICAGO, IL 60618-2273
(316) 304-5527
Mailing address
3309 W CULLOM AVE APT 1, CHICAGO, IL 60618-2273
(316) 304-5527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178017605
IL
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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