MADISON PARRIS-BACON

CHICAGO, IL
NPI1588414809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: IL  019.035228)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-27
Last Update Date2024-06-24
Business Address
MADISON PARRIS-BACON
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-2188
Mailing Address
MADISON PARRIS-BACON
2277 ALBION ST
DENVER, CO 80207-3707
Phone number: 303-349-7244