Organization
ANDREA M. BACON, M.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MICHELLE BACON M.D. (PRESIDENT)
(773) 350-7717
Entity
Organization
Contact information
Practice address
701 S WELLS ST, #2902, CHICAGO, IL 60607-4640
(773) 350-7717
(312) 663-3740
Mailing address
820 DAVIS ST, #450, EVANSTON, IL 60201-4431
(847) 425-7400
(847) 328-1295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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