NPI
Bloom Wellness Collective, Pllc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2026-03-03
- Last updated
- 2026-05-06
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 4541 N Prospect Rd Ste 302
- City
- Peoria Heights IL
- Postal code
- 61616-6490
- Phone
- (708) 573-1955
Organization contact
- Name
- DEVIN HENDERSON
- Title
- Member
- Phone
- 3092676737
Medicare
- PECOS
- No PECOS enrollment row matched 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 Peoria Heights, IL. 99 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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