Individual
AARON DEVIN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4210 CLARK DR, RICHTON PARK, IL 60471-1218
(708) 252-9478
Mailing address
4210 CLARK DR, RICHTON PARK, IL 60471-1218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043101680
IL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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