Georgette Bloom, CPC
Counselor, Professional in Waukegan, IL. Individual provider (NPI-1).
NPI number1528088895
StatusActive
Last updated in NPPESAug 28, 2012
Details
- NPI
- 1528088895
- Entity type
- Individual (NPI-1)
- Name
- Georgette Bloom
- Credential
- CPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Aug 28, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.001111 | IL | Yes |
Practice location
3010 Grand AveFloor 1
Waukegan, IL 60085-2321
Phone 847-377-8180 · Fax 847-984-5682
Mailing address
3010 Grand AveFloor 1
Waukegan, IL 60085-2321
Phone 847-377-8180 · Fax 847-984-5682
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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