Hanna, Vaughn

Hanna, Vaughn is an individual health care provider with primary practice located at 120 Ne Glen Oak Ave Suite 100, Peoria IL 61603-4314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hanna, Vaughn can be contacted via phone (309) 671-8270.

Contact Information

Primary practice address
120 Ne Glen Oak Ave Suite 100 Peoria IL 61603-4314
Phone: (309) 671-8270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X Illinois

Profile Details

NPI number 1912912213
LBN Legal business name Hanna, Vaughn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912912213 NPPES
Illinois MEDICAID 0360885651
Illinois Other 7215059
Illinois Other 020755
Illinois Other 472308
Illinois Other IL0145

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