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Contact Information

ARIC N BLOM, PA-C
2361 PAYSPHERE CIR
CHICAGO, IL60674
 Phone: 847-746-4358
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ARIC N BLOM · (Male)

NPI # 1114905411
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/06/2006
Last updated 10/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.003370
  • NY License # 010497
  • WI License # 2095
Hospital affiliation(s)
  • MIDWESTERN REGION MED CENTER - (Acute Care)
    2520 ELISHA AVENUE
    ZION, IL 60099
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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