GEORGETTE BLOOM CPC
NPI 1528088895
Counselor - Professional in Waukegan, IL

Active since July 20, 2006
3010 GRAND AVE, FLOOR 1, WAUKEGAN, IL 60085(847) 377-8180(847) 984-5682 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgette Bloom Cpc NPPES

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

GEORGETTE BLOOM CPC (NPI 1528088895) is an individual professional provider in Waukegan, Illinois, licensed in Illinois (180.001111) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528088895
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGEORGETTE BLOOMCredential: CPC
Location Address3010 GRAND AVE, FLOOR 1Waukegan, IL 60085-2321
Mailing Address3010 Grand Ave, Floor 1Waukegan, IL 60085-2321 · (847) 377-8180 · Fax (847) 984-5682
Fax(847) 984-5682
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 28, 2012
NPI 1528088895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.001111
3010 GRAND AVE, Waukegan, IL 60085

Other Identifiers 1

Medicaid180001111IL

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.

Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Nurse Practitioner (Family)
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
3010 GRAND AVE
WAUKEGAN, IL 60085
Registered Nurse
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085

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 Georgette Bloom's NPI number?

The NPI number for Georgette Bloom is 1528088895. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Georgette Bloom located?

Georgette Bloom practices at 3010 Grand Ave Floor 1, Waukegan, IL 60085. The listed phone number is (847) 377-8180.

What is Georgette Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Georgette Bloom was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.