IndividualActive
Alisa Bloom, MPH, RDN, LDN
NPI 1992005326 · Registered Dietitian · Deerfield, IL
Provider details
- NPI number
- 1992005326
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MPH, RDN, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164-004502
Practice location
1020 Milwaukee Ave
Suite 341
Deerfield, IL 60015-3513
Phone: (773) 951-5557
Fax: (847) 941-0559
Mailing address
1020 Milwaukee Ave
Deerfield, IL 60015-3513
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2016-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.