Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528088895 Individual Practitioner Female Practitioner

Georgette Bloom , CPC

Counselor - Professional • Waukegan, IL

Professional Overview & Biography Verified Profile Summary

Georgette Bloom, CPC is a registered healthcare professional specializing in Counselor - Professional in Waukegan, IL. Practice services are available at 3010 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3010 Grand Ave
Floor 1

Waukegan, IL 600852321

Telephone 8473778180
Fax 8479845682
Associated Practice Facility / Clinic
🏢 County Of Lake Facility NPI 1164446712

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Waukegan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
51 Specialists

Practicing in Waukegan, IL (9683 Statewide)

Telehealth Adoption Rate
2.0% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.001111

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
180001111 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Dr. Joanna Caban , MD

Psychiatry & Neurology - Psychiatry

NPI 1023033610

Doctor of Medicine (M.D.)

Wendy Powell , LCSW

Social Worker - Clinical

NPI 1124041843

Licensed Clinical Social Worker

Dr. Danielle Candelario , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1144837758

Doctor of Pharmacy (Pharm.D.)

Norma Venable , LCPC

Counselor - Mental Health

NPI 1164749743

Licensed Clinical Professional Counselor

Cathy Chestler

Counselor - Mental Health

NPI 1215269766
Dr. Hargurmukh Singh , MD

Psychiatry & Neurology - Psychiatry

NPI 1235152547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2012

Registered at 3010 GRAND AVE, FLOOR 1, WAUKEGAN, IL 600852321 (Tel: 8473778180)

📍
Updated Business Mailing Address August 28, 2012

Registered at 3010 GRAND AVE, FLOOR 1, WAUKEGAN, IL 600852321 (Tel: 8473778180)

👤
Provider Name / Credentials Updated August 28, 2012

Recorded as GEORGETTE BLOOM, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2012

Counselor (License #180.001111 in IL)

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528088895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: August 28, 2012
Sole Proprietor: No

Mailing Address

3010 Grand Ave, Floor 1

Waukegan, IL 600852321

Phone: 8473778180

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.