NPI
Troy Bloom
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DPT
- Type
- Individual
- Enumeration date
- 2016-12-19
- Last updated
- 2019-06-11
Specialties
Licenses
- License WI
- 1477-24
- License IL
- 070022808
Location
- Practice location
- 34572 N Us Highway 45
- City
- Third Lake IL
- Postal code
- 60030-4037
- Phone
- (847) 548-3695
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Third Lake, IL. 25 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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