Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

In Bloom Behavioral Health, PLLC

Organization Clinical Psychologist · NPI 1124866132

In Bloom Behavioral Health, PLLC provides Clinical Psychologist services in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10725 S Western Ave
Chicago, IL 60643-3217
Phone: (773) 309-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1124866132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Balfour — Owner/Member · (773) 309-1745
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address10725 S Western Ave, Chicago, IL 60643-3217

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