Jacob Maxwell-Phillip Bloom, MD
Plastic and Reconstructive Surgery Physician · Chicago, IL
Practice location
1 E Delaware Pl Ste 501Chicago, IL 60611-1666
- Phone
- (312) 549-8691
- Fax
- (312) 549-8692
NPI record
- NPI
- 1770757130
- Entity type
- Individual (Type 1)
- Enumeration date
- April 16, 2008
- Last updated
- February 19, 2025
- Certified
- February 19, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X |
036134552 | IL |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X |
036134552 | IL |
Other practice locations (1)
- 12 Salt Creek Ln Ste 125, Hinsdale, IL 60521-8646 · (312) 549-8691
About Dr. Bloom
Jacob Maxwell-Phillip Bloom, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 1 E Delaware Pl Ste 501, Chicago, IL 60611-1666. The NPI number 1770757130 was assigned on April 16, 2008 and the record was last updated on February 19, 2025.
Dr. Bloom lists 2 licenses in the registry: #036134552 (IL) for Plastic and Reconstructive Surgery Physician; #036134552 (IL) for Surgery of the Hand (Plastic Surgery) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacob Maxwell-Phillip Bloom, MD?
The NPI number is 1770757130.
What is the phone number of Dr. Bloom?
The phone number listed for the practice location is (312) 549-8691.
Where is Dr. Bloom located?
1 E Delaware Pl Ste 501, Chicago, IL 60611-1666.
What is the taxonomy code for Dr. Bloom?
The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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