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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDRE BLOM, PT

Active

ANDRE BLOM, PT is a Physical Therapy Assistant healthcare provider located in MORTON GROVE, Illinois. NPI 1558317438 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MORTON GROVE, IL

Registration Details

NPI Number
1558317438
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2006 (20.201283157164 yrs)
Last Updated
Feb 1, 2013
License
070-012378 (IL)

Practice Information

Address
9000 WAUKEGAN RD
SUITE 100
MORTON GROVE, IL, 600532111
Browse IL providers · Browse ZIP 60053
Phone
8477796050
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MORTON GROVE, IL

Name Credential NPI
RICHARD TALENTI PT 1114974144
ANNETTE EGEL PT 1245287127
LINDA HERMES PT 1417997453
LAURA WALSH PT 1669412607
JENNIFER HENRY PT 1689618175
MRS. MARY RAHLIN PT 1952409955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.