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Contact Information

ALLEN D BLOOM, MD
2040 OGDEN AVE
SUITE 115
AURORA, IL60504-7206
 Phone: 630-585-0200
 Fax: 630-585-7396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALLEN D BLOOM · (Male)

NPI # 1851409387
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036067856
  • IL Medicaid 036067856
Hospital affiliation(s)
  • COPLEY MEMORIAL HOSPITAL - (Acute Care)
    2000 OGDEN AVENUE
    AURORA, IL 60504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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