Individual
MR. ADAM RICHARD VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1306 GEMINI CIR STE 3, OTTAWA, IL 61350-1695
(815) 431-9980
(815) 431-9981
Mailing address
1051 W US ROUTE 6 STE 400, MORRIS, IL 60450-3370
(815) 942-8301
(815) 942-8449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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