ADAM RICHARD VAUGHAN

OTTAWA, IL
NPI1801927611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001845)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Mr. ADAM RICHARD VAUGHAN ATC
1306 GEMINI CIR STE 3
OTTAWA, IL 61350-1695
Phone number: 815-431-9980
Mailing Address
Mr. ADAM RICHARD VAUGHAN ATC
1051 W US ROUTE 6 STE 400
MORRIS, IL 60450-3370
Phone number: 815-942-8301