| Bloompoints | |
|
1 E Superior St Ste 506 Chicago IL 60611-2593 | |
| (312) 481-8521 | |
| Not Available |
| Full Name | Bloompoints |
|---|---|
| Speciality | Social Worker |
| Location | 1 E Superior St Ste 506, Chicago, Illinois |
| Authorized Official Name and Position | David Harker Lewis (CEO/OWNER) |
| Authorized Official Contact | 3122194136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloompoints 1 E Superior St Ste 506 Chicago IL 60611-2593 Ph: (312) 219-4136 | Bloompoints 1 E Superior St Ste 506 Chicago IL 60611-2593 Ph: (312) 481-8521 |
| NPI Number | 1104464791 |
|---|---|
| Provider Enumeration Date | 12/14/2019 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 4486063732 |
|---|---|
| Medicare Enrollment ID | O20210712003179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104464791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Harker Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740517267 PECOS PAC ID: 2860688066 Enrollment ID: I20101130001107 |
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