Individual
VAUGHN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAIN ST STE 600, PEORIA, IL 61602-5025
(309) 671-8271
(309) 672-3171
Mailing address
900 MAIN ST STE 600, PEORIA, IL 61602-5025
(309) 671-8271
(309) 672-3171
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036088565
IL
207RR0500X
Rheumatology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020755
HEALTH ALLIANCE
IL
05
—
0360885651
—
IL
01
—
472308
HEALTHLINK
IL
01
—
660000775
RAILROAD MEDICARE
IL
01
—
7215059
BCBS PPO
IL
01
—
IL0145
JOHN DEERE
IL
Enumeration date
07/29/2006
Last updated
04/10/2026
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