| Alisa Carole Bloom, MPH, RDN, LDN | |
|
1020 Milwaukee Ave, Suite 341, Deerfield, IL 60015-3513 | |
| (773) 951-5557 | |
| (847) 941-0559 |
| Full Name | Alisa Carole Bloom |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1020 Milwaukee Ave, Deerfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992005326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164-004502 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Carole Bloom, MPH, RDN, LDN 1020 Milwaukee Ave, Suite 341, Deerfield, IL 60015-3513 Ph: (773) 951-5557 | Alisa Carole Bloom, MPH, RDN, LDN 1020 Milwaukee Ave, Suite 341, Deerfield, IL 60015-3513 Ph: (773) 951-5557 |
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