Search › Illinois › 172A00000X
Brian Vaughn
NPI 1750092276 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1671 Greenbriar Dr
Bourbonnais, IL 60914 - Phone
- (815) 216-1599
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois