Mrs Kimberly Bloomcamp, APRN | |
757 Park Ave W, Highland Park, IL 60035-2556 | |
(847) 941-7600 | |
Not Available |
Full Name | Mrs Kimberly Bloomcamp |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 19 Years |
Location | 757 Park Ave W, Highland Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154547875 | NPI | - | NPPES |
041315130 | Other | IL | RN STATE LICENSE |
209006104 | Other | IL | APN STATE LICENSE |
041315130 | Medicaid | IL | |
406120022 | Other | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209006104 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Bloomcamp, APRN 757 Park Ave W Ste 2800, Highland Park, IL 60035-2557 Ph: (847) 941-7600 | Mrs Kimberly Bloomcamp, APRN 757 Park Ave W, Highland Park, IL 60035-2556 Ph: (847) 941-7600 |
Simone Bonde, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 757 Park Ave W Ste 2800, Highland Park, IL 60035 Phone: 847-941-7600 |