Individual
KATHRYN S BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1349 W TAYLOR ST, CHICAGO, IL 60607-4759
(801) 592-2255
Mailing address
845 S DAMEN AVE # MC802, CHICAGO, IL 60612-3727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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