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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000536 | IL | Practitioner - Psychiatry | 7911951124 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Clinical Services PC | Psychiatry | Current |
Accepting new patients |
| Access Community Health Network | Current |
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
- https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4
- andrea.bacon.1@9265.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Awakened Alternatives Inc
- Awakened Alternatives Inc.
- Ayoola Samuel Awofadeju
- Joseph Olatunde Ayoola
- Lekha Babu
- Rolanda Bailey-Clark
- Sonya R Baker
- Daniel L Ballard
- Joseph Bardzinski
- Amy Amanda Bartelment
All providers in Flossmoor, IL · Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.