Individual
KORIN ELISE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7298
(312) 413-0289
Mailing address
148 MANSFIELD AVE APT 18, SHELBY, OH 44875-8624
(419) 566-8605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009238
IL
Other
Enumeration date
05/10/2022
Last updated
05/08/2023
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