Dr Zachary D Bloom, PHD is a
Marriage & Family Therapist based in Glenview, Illinois. Dr Zachary D Bloom is licensed to practice in Illinois (license number 166001123) and his current practice location is
3633 West Lake Ave, Suite 404, Glenview, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 204-0943.
NPI number for Dr Zachary D Bloom is 1184917361 and his current mailing address is 621 Dunsten Cir, Northbrook, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184917361.
Healthcare Provider's Profile
Full Name | Dr Zachary D Bloom |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 3633 West Lake Ave, Glenview, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184917361
- Provider Enumeration Date: 05/23/2011
- Last Update Date: 05/02/2017
Medical Identifiers
Medical identifiers for Dr Zachary D Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184917361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 166001123 (Illinois) | Primary |
101YM0800X | Counselor - Mental Health | 180.010958 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Zachary D Bloom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Zachary D Bloom, PHD 621 Dunsten Cir, Northbrook, IL 60062 Ph: (847) 204-0943 | Dr Zachary D Bloom, PHD 3633 West Lake Ave, Suite 404, Glenview, IL 60026 Ph: (847) 204-0943 |
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