Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ENRIQUE BACON, ATC
Active Sole ProprietorMR. ENRIQUE BACON, ATC is a Specialist healthcare provider located in SCHAUMBURG, Illinois. NPI 1184694994 is currently active in the NPPES registry. Verify at CMS.
Specialist · SCHAUMBURG, IL
Registration Details
- NPI Number
- 1184694994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.517688346943 yrs)
- Last Updated
- Mar 21, 2012
- License
-
096-002119 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
929 W HIGGINS RDSCHAUMBURG, IL, 601953203Browse IL providers · Browse ZIP 60195
- Phone
- 8478850078
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SCHAUMBURG, IL
| Name | Credential | NPI |
|---|---|---|
| BATOOL H MUSVI | M.D. | 1124069513 |
| MS. SHANNON LYNN OLSON | L.C.S.W. | 1326234576 |
| MS. STACY J SIMEK | MS, DT-H, LSLS CERT. | 1861662298 |
| JENNIFER HENNESSEY ANDERSON | IBCLC | 1992033203 |
| MS. ELIZABETH MARIA LOSOLE | P.T.A. | 1417224320 |
| AGNIESZKA LINIEWIECKA-DZIWOK | LCPC | 1043577174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.