Organization
KENNEKUK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5221
(217) 443-5269
Mailing address
PO BOX 37756, PHILADELPHIA, PA 19101-5056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
09/27/2023
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