Andrea Bacon, M.D.

Individual provider Active NPI Psychiatry Physician · Flossmoor, IL

NPI 1194763433 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1194763433
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
Practice address
19530 Kedzie Ave
Flossmoor, IL 60422-1778
Phone
(708) 799-2200
Fax
(708) 922-4455
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Clinical Services PC (18 clinicians)

Practice addresses (Care Compare)

2340 S Highland Ave
Suite 300
Lombard, IL 60148-5397
Phone (630) 261-1210

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050310000536 IL Practitioner - Psychiatry 7911951124 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Clinical Services PC Psychiatry Current
since May 1, 2025
Accepting new patients
Access Community Health Network Current
since Apr 8, 2019
Accepting new patients
Access Community Health Network Current Accepting new patients
Metropolitan Family Services Past Accepting new patients
Metropolitan Family Services Past Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

2340 S Highland Ave
Ste 300
Lombard, IL 60148
Phone (630) 261-1210

1101 Lake St
Ste 302
Oak Park, IL 60301
Phone (630) 261-1210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrea.bacon.1@9265.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Yes

Addresses

Primary practice location

19530 Kedzie Ave
Flossmoor, IL 60422-1778

Mailing address

19530 Kedzie Ave
Flossmoor, IL 60422-1778
Phone (708) 799-2200

Other providers in Flossmoor, IL

All providers in Flossmoor, IL · Psychiatry Physician in Illinois

Sources for this page

Verify at the official NPI Registry.