Parris-Bacon, Madison

Parris-Bacon, Madison is an individual health care provider with primary practice located at 811 W Wellington Ave , Chicago IL 60657-5123. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is her primary health care specialty. Parris-Bacon, Madison can be contacted via phone (773) 871-2188.

Contact Information

Primary practice address
811 W Wellington Ave Chicago IL 60657-5123
Phone: (773) 871-2188
Fax: (773) 871-6353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist Anesthesiologist 1223D0004X 019.035228 Illinois

Profile Details

NPI number 1588414809
LBN Legal business name Parris-Bacon, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Jun 24th, 2024 - about 6 months 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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