MRS. JESSICA ANN BLOOM
NPI 1174702583
Specialist in Monee, IL

Active since November 01, 2007
5617 W VON AVE UNIT C, MONEE, IL 60449(815) 953-4023(708) 534-7715 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jessica Ann Bloom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA ANN BLOOM (NPI 1174702583) is an individual specialist in Monee, Illinois, licensed in Illinois (B45042183855) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1174702583
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JESSICA ANN BLOOM
Location Address5617 W VON AVE UNIT CMonee, IL 60449-7917
Mailing Address5617 Von Ave Unit CMonee, IL 60449-6044 · (815) 953-4023 · Fax (708) 534-7715
Fax(708) 534-7715
Sole ProprietorNo
Enumeration DateNovember 1, 2007
NPI 1174702583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · B45042183855
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5617 W VON AVE UNIT C, Monee, IL 60449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bloom's NPI number?

The NPI number for Jessica Bloom is 1174702583. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Jessica Bloom located?

Jessica Bloom practices at 5617 W Von Ave Unit C, Monee, IL 60449. The listed phone number is (815) 953-4023.

What is Jessica Bloom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Bloom was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.