Bacon, Enrique

Bacon, Enrique is an sole proprietor health care provider with primary practice located at 929 W Higgins Rd , Schaumburg IL 60195-3203. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bacon, Enrique can be contacted via phone (847) 885-0078.

Contact Information

Primary practice address
929 W Higgins Rd Schaumburg IL 60195-3203
Phone: (847) 885-0078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 096-002119 Illinois

Profile Details

NPI number 1184694994
LBN Legal business name Bacon, Enrique
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Mar 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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