| Mrs Kimberly Bloomcamp, APRN | |
|
757 Park Ave W, Highland Park, IL 60035-2556 | |
| (847) 941-7600 | |
| Not Available |
| Full Name | Mrs Kimberly Bloomcamp |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 19 Years |
| Location | 757 Park Ave W, Highland Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154547875 | NPI | - | NPPES |
| 041315130 | Other | IL | RN STATE LICENSE |
| 209006104 | Other | IL | APN STATE LICENSE |
| 041315130 | Medicaid | IL | |
| 406120022 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209006104 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Bloomcamp, APRN 757 Park Ave W Ste 2800, Highland Park, IL 60035-2557 Ph: (847) 941-7600 | Mrs Kimberly Bloomcamp, APRN 757 Park Ave W, Highland Park, IL 60035-2556 Ph: (847) 941-7600 |
Whitney Amaris Abbott, APN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 777 Park Ave, Highland Park, IL 60035 Phone: 312-666-3494 Fax: 773-293-7220 | |
Simone Bonde, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 757 Park Ave W Ste 2800, Highland Park, IL 60035 Phone: 847-941-7600 |