Andrea M. Bacon, M.D. LTD.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ANDREA M. BACON, M.D. LTD.

Practice address

701 S Wells St
#2902
Chicago, IL 60607-4640

Phone

(773) 350-7717

Fax

(312) 663-3740

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea Michelle Bacon, M.D.

Title

President

Phone

(773) 350-7717

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Ann Brownstone, LCSW

  • Professional Counselor
  • Evanston, IL
  • NPI 1104939602
  NPD (past)
• Scott Feldman, MD

  • Psychiatry Physician
  • Evanston, IL
  • NPI 1407940166
  NPD (past)
• Tana Paul, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1639263361
  NPD (past)
• Elizabeth Lynn Wegner, LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1912095043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922188986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST",
            "address_2": "#450",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014431",
            "telephone_number": "847-425-7400",
            "fax_number": "847-328-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S WELLS ST",
            "address_2": "#2902",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074640",
            "telephone_number": "773-350-7717",
            "fax_number": "312-663-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M. BACON, M.D. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-350-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Andre-Todd
• Jared Andre, M.D.
• Andrea Gargano, LCPC Counseling and Therapeutic Services, P.C.
• Andrea Hohf, MSCD, LCSW (Patchwork Therapy)
• Andrea Lieberman, Psy.D., LLC
• Andrea N. Sidle DDS PC (Crown Jewel Dental Loft)
• Stanley Andreakis, RPH
• Michael A Andreano, D.C.
• Hannah Andreasen, MSED, BCBA
• Alyssa Andreasik, PT, DPT

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.