| Andrea M. Bacon, M.d. Ltd. | |
|
701 S Wells St #2902 Chicago IL 60607-4640 | |
| (773) 350-7717 | |
| (312) 663-3740 |
| Full Name | Andrea M. Bacon, M.d. Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 701 S Wells St, Chicago, Illinois |
| Authorized Official Name and Position | Andrea Michelle Bacon (PRESIDENT) |
| Authorized Official Contact | 7733507717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea M. Bacon, M.d. Ltd. 820 Davis St #450 Evanston IL 60201-4431 Ph: (847) 425-7400 | Andrea M. Bacon, M.d. Ltd. 701 S Wells St #2902 Chicago IL 60607-4640 Ph: (773) 350-7717 |
| NPI Number | 1922188986 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922188986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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