Alon Bloom, M.D.
Individual provider Active NPI Family Medicine Physician · Hometown, IL
NPI 1033523972 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1033523972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125065585 (IL)
- Practice address
- 4140 Southwest Hwy
Advocate Christ Family Medicine
Hometown, IL 60456-1135 - Phone
- (708) 422-5700
- Fax
- (708) 422-8225
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125065585 | IL | Yes |
Addresses
Primary practice location
4140 Southwest Hwy
Advocate Christ Family Medicine
Hometown, IL 60456-1135
Mailing address
4140 Southwest Hwy
Advocate Christ Family Medicine
Hometown, IL 60456-1135
Other providers in Hometown, IL
- Advocate Christ Family Medicine Center
- Advocate Christ Medical Center
- Advocate Christ Medical Center
- Archos Caregiving Services LLC
- Christopher Lee Beaty
- Angela Chambers-Jones
- Chicago Medivan LLC
- Moriah Elusta
- Hometown Dental Care PC
- Hometown Fire Protection District
All providers in Hometown, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.