Individual
DEBORAH VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6653
Mailing address
1611 W HARRISON ST, SUITE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6653
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-005205
IL
Other
Enumeration date
02/10/2010
Last updated
12/31/2014
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