Dr. Jacob Maxwell-Phillip Bloom
Surgeon Plastic Hand Surgeon
1 E Delaware Pl Ste 501
Chicago
, Illinois 60611
Dr. Jacob Maxwell-Phillip Bloom
Surgeon Plastic Hand Surgeon
1 E Delaware Pl Ste 501
Chicago
, Illinois 60611
(312) 535-3721
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About
Features
Specialties
- Plastic Hand Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jacob Maxwell-Phillip Bloom
- 1 E Delaware Pl Ste 501
- Chicago, IL
- Zip : 60611-1666
- Phone : (312) 535-3721
Second Address
- Dr. Jacob Maxwell-Phillip Bloom
- 1 E Delaware Pl Ste 501
- Chicago, IL
- Zip : 60611
- Phone : (312) 535-3721
Reviews
FAQs
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Is Dr. Jacob Maxwell-Phillip Bloom a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2082S0105X | Plastic Hand Surgeon | 036134552 | IL |
| N | 208200000X | Surgeon | MA254962 | MA |
| N | 208600000X | Surgeon | MA254962 | MA |
National Provider Identifier
| NPI | 1770757130 |
|---|---|
| Provider Name | Dr. Jacob Maxwell-Phillip Bloom |
| First Address | Chicago, IL 60611-1666 |
| Second Address | Chicago, IL 60611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2008 |
| Last Update Date | 25/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.