Individual provider · Type 1 NPI

Enrique Bacon, ATC

Specialist · Schaumburg, IL

NPI number 1184694994 Active

Practice location

929 W Higgins Rd
Schaumburg, IL 60195-3203

Call (847) 885-0078 Map

Mailing address

109 Terra Springs Dr
Volo, IL 60020-3201

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X096-002119 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184694994

Enrique Bacon, ATC's National Provider Identifier is 1184694994, issued on Jan 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Schaumburg, IL. The record was last updated on Mar 21, 2012.