Vaughn, Doreen

Vaughn, Doreen is an individual health care provider with primary practice located at 4815 S Western Blvd , Chicago IL 60609-4067. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Vaughn, Doreen can be contacted via phone (773) 927-4200.

Contact Information

Primary practice address
4815 S Western Blvd Chicago IL 60609-4067
Phone: (773) 927-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057001132 Illinois

Profile Details

NPI number 1619143617
LBN Legal business name Vaughn, Doreen
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 17 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 1619143617 NPPES
Illinois Other 057001132 STATE OF ILLINOIS

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