Colleen Krombach Blomgren, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70013164 Issued in IL

Practice address

2300 N Childrens PLZ
#142
Chicago, IL 60614-3363

Phone

(773) 327-2880

Fax

(773) 327-0547

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Memorial Hospital

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1104999044
  NPD (past)
• Childrens Memorial Hospital

  • Children's Hospital
  • Chicago, IL
  • NPI 1396818274
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1083783468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 W FOSTER AVE",
            "address_2": "UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401079",
            "telephone_number": "773-327-2743",
            "fax_number": "773-327-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ",
            "address_2": "#142",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "773-327-2880",
            "fax_number": "773-327-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMGREN",
        "first_name": "COLLEEN",
        "middle_name": "KROMBACH",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70013164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wojciech Blogowski, MD
• Molly Blohm, RN, IBCLC
• Aric Neil Blom, PA-C
• Suzanne Grant Blomberg, LCPC
• Nicole Blome, MOT, OTR/L
• Emily Blomquist
• Hayley Blomquist
• Madeline Margaret Blomquist
• Zoe Blomquist
• Dorothy Katherine Bloniarz, M.D.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.