MOLLY BLOOM (NPI# 1972143691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972143691 |
| Entity Type | Individual |
| Full Name | MOLLY BLOOM |
| Practice Address |
310 N Loomis St Chicago IL 60607-1147 |
| Practice Telephone | 3122438487 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070024802 | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784665 | Molly J Bloom | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2017-04-13 |
| 1578894150 | Molly M Bloom | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3038 | 2010-01-21 |
| Street Address |
310 N LOOMIS ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083653927 | Mauricio A Consalter | Internal Medicine | 310 N Loomis St, Chicago, IL 60607-1147 | 2006-06-06 |
| 1639779648 | Ashley Potratz | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-10-28 |
| 1518578459 | Alyanna Mae Moraga | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-08-13 |
| 1376161638 | Molly Soto | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-07-13 |
| 1326663550 | Akhil J Sridher | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-06-12 |
| 1104448935 | Ainsley Lita Adique | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-05-14 |
| 1801416730 | Colleen Elise Mcpherson | Behavior Technician | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-04-21 |
| 1750911749 | Megan Nicole Heimerman | Social Worker | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-01-19 |
| 1598304255 | Mercedes Herrera | Social Worker | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-12-29 |
| 1073151247 | Erin B Doppelt | Social Worker | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
| 1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
| 1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
| 1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
| 1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
| 1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.