Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB MAXWELL-PHILLIP BLOOM, MD
ActiveDR. JACOB MAXWELL-PHILLIP BLOOM, MD is a Plastic and Reconstructive Surgery healthcare provider located in CHICAGO, Illinois. NPI 1770757130 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · CHICAGO, IL
Registration Details
- NPI Number
- 1770757130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2008 (18.344421293508 yrs)
- Last Updated
- Feb 19, 2025
- Licenses
-
036134552 (IL)036134552 (IL)
Practice Information
- Address
-
1 E DELAWARE PL STE 501CHICAGO, IL, 606111666Browse IL providers · Browse ZIP 60611
- Phone
- 3125498691
- Fax
- 3125498692
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| JULIA CORCORAN | MD | 1992790828 |
| DR. STEFAN M SZCZERBA | M.D. | 1881685873 |
| DR. ARUN GOSAIN | MD | 1629029426 |
| RUSSELL REID | — | 1801835632 |
| JULIUS FEW | MD | 1093750945 |
| NEIL FINE | MD | 1841226719 |
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.