Individual
MADISON PARRIS-BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 W WELLINGTON AVE, CHICAGO, IL 60657-6709
(773) 871-2188
(773) 871-6353
Mailing address
2277 ALBION ST, DENVER, CO 80207-3707
(303) 349-7244
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
019.035228
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2024
Last updated
09/10/2025
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