William L Bacon, DDS Valid NPI
Individual provider · Dentist · Gurnee, IL
- NPI
- 1073643052
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 102891 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-07
- Last updated
- 2025-07-07
Practice location
310 S Greenleaf St Ste 201
Gurnee, IL 60031-5708
(847) 623-5530