| Dr Andrea Bacon, MD | |
|
19530 Kedzie Ave, Flossmoor, IL 60422-1778 | |
| (708) 799-2200 | |
| (708) 922-4455 |
| Full Name | Dr Andrea Bacon |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19530 Kedzie Ave, Flossmoor, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194763433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Entity Name | Access Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
| Entity Name | Comprehensive Clinical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942484522 PECOS PAC ID: 0042374720 Enrollment ID: O20090123000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Bacon, MD 19530 Kedzie Ave, Flossmoor, IL 60422-1778 Ph: (708) 799-2200 | Dr Andrea Bacon, MD 19530 Kedzie Ave, Flossmoor, IL 60422-1778 Ph: (708) 799-2200 |
Mrs. Roxane Y Sanders, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19530 Kedzie Ave, Flossmoor, IL 60422 Phone: 708-799-2200 Fax: 708-799-2711 | |
Mahim K Vora, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3235 Vollmer Road, Suite 119, Flossmoor, IL 60426 Phone: 708-754-8815 Fax: 708-798-1315 |