Individual provider · Type 1 NPI

Kathryn S. Bacon, RN

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1174401632 Active

Practice location

1349 W Taylor St
Chicago, IL 60607-4759

Call (801) 592-2255 Map

Mailing address

845 S Damen Ave # MC802
Chicago, IL 60612-3727

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174401632

Kathryn S. Bacon, RN's National Provider Identifier is 1174401632, issued on Aug 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Aug 23, 2025.