Individual
BETHANY BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
Mailing address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(872) 274-4344
(866) 671-9991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017452
IL
Other
Enumeration date
02/06/2020
Last updated
12/11/2025
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