Individual
DR. RONALD LYNN VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15000 CICERO AVE STE 100, OAK FOREST, IL 60452-1480
(708) 388-1522
(708) 388-2880
Mailing address
15000 CICERO AVE STE 100, OAK FOREST, IL 60452-1480
(708) 388-1522
(708) 388-2880
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038-006400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634107
BLUE CROSS BLUE SHIELD
IL
01
—
350053640
RAILROAD MEDICARE
IL
Enumeration date
11/10/2006
Last updated
03/04/2024
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