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THEA BLOOM CGC
NPI 1255027363
Genetic Counselor, MS in Chicago, IL

Active since April 12, 2023
1950 W POLK ST, FL 7 CUB 64, CHICAGO, IL 60612(312) 864-0333 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thea Bloom Cgc NPPES

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

THEA BLOOM CGC (NPI 1255027363) is an individual genetic counselor, ms provider in Chicago, Illinois, licensed in Illinois (247.000180) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1255027363
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameTHEA BLOOMCredential: CGC
Location Address1950 W POLK ST, FL 7 CUB 64Chicago, IL 60612-3726
Mailing Address3647 N Keeler AveChicago, IL 60641-3014 · (773) 208-5239
Phone(312) 864-0333
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1255027363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in IL · 247.000180
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
1950 W POLK ST, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETRINA CHINO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2245
CHRISTOPHER PAYNE
Nurse Anesthetist, Certified Registered
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
SHARAN HARISH MALKANI MD
Internal Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7311
ATHINA SIMOTAS DO
Ophthalmology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. MOUNIKA LAKSHMI ALLAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1950 W POLK ST, SUITE 4811, JOHN H STROGER HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
Cook County (312) 864-0200
MRS. ANU NAVEEN CYRIAC APRN
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7000
NATALIE MAINLAND
Urology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0395
DR. KIARA DANIELLE WHITE MD
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2855

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 Thea Bloom's NPI number?

The NPI number for Thea Bloom is 1255027363. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Thea Bloom located?

Thea Bloom practices at 1950 W Polk St Fl 7 Cub 64, Chicago, IL 60612. The listed phone number is (312) 864-0333.

What is Thea Bloom's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Thea Bloom was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.