Dr. Julie Ann Bacon
Periodontist
183 Addison
Elmhurst
, Illinois 60126
Dr. Julie Ann Bacon
Periodontist
183 Addison
Elmhurst
, Illinois 60126
(630) 832-6041
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Julie Ann Bacon
- 183 Addison
- Elmhurst, IL
- Zip : 60126
- Fax : (630) 832-6041
- Phone : (630) 832-1212
Second Address
- Dr. Julie Ann Bacon
- 183 Addison
- Elmhurst, IL
- Zip : 60126
- Fax : (630) 832-6041
- Phone : (630) 832-1212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 0210002163 | IL |
National Provider Identifier
| NPI | 1124163555 |
|---|---|
| Provider Name | Dr. Julie Ann Bacon |
| First Address | Elmhurst, IL 60126 |
| Second Address | Elmhurst, IL 60126 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.