Individual
DR. SHANELE MCGOWAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5571 W 95TH ST, OAK LAWN, IL 60453-2356
(708) 972-9695
(708) 401-0194
Mailing address
PO BOX 16008, CHICAGO, IL 60616-0001
(708) 972-9695
(708) 576-8491
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036136261
IL
2084N0400X
Neurology Physician
04-49689
KS
2084N0400X
Neurology Physician
2025-00347
NC
2084N0400X
Neurology Physician
C1-0027603
DE
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
C1-0027603
DE
208VP0014X
Interventional Pain Medicine Physician
Primary
036136261
IL
Other
Enumeration date
07/12/2011
Last updated
04/17/2026
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