Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174702583 Individual Practitioner Female Practitioner

Jessica Ann Bloom

Specialist • Monee, IL

Professional Overview & Biography Verified Profile Summary

Jessica Bloom is a registered healthcare professional specializing in Specialist in Monee, IL. Practice services are available at 5617 W VON AVE UNIT C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5617 W Von Ave Unit C

Monee, IL 604497917

Telephone 8159534023
Fax 7085347715

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Monee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Monee, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL B45042183855

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 01, 2007

Registered at 5617 W VON AVE UNIT C, MONEE, IL 604497917 (Tel: 8159534023)

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Updated Business Mailing Address November 01, 2007

Registered at 5617 VON AVE UNIT C, MONEE, IL 604496044 (Tel: 8159534023)

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Provider Name / Credentials Updated November 01, 2007

Recorded as JESSICA BLOOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Specialist (License #B45042183855 in IL)

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Initial NPI Registration & Enumeration November 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174702583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2007
Last Update: November 01, 2007
Sole Proprietor: No

Mailing Address

5617 Von Ave Unit C

Monee, IL 604496044

Phone: 8159534023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.