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1295829901
MARY J BACON
CHICAGO, IL
NPI
1295829901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.001425)
Enumeration Date
2006-10-03
Last Update Date
2015-02-23
Business Address
Ms. MARY J BACON M.A., CCC-SLP
1611 W HARRISON ST SUITE 530
CHICAGO, IL 60612-4861
Phone number: 312-942-5332
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Mailing Address
Ms. MARY J BACON M.A., CCC-SLP
131 W ADELAIDE ST UNIT 103
ELMHURST, IL 60126-3306
Phone number: 708-212-1412
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