Individual
MR. CHAD ERIC VAUGHN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-2650
(217) 781-8023
Mailing address
815 CAMBRIDGE DR, PAXTON, IL 60957-1877
(217) 379-8093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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