| NPI | 1851503098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G VAUGHN Owner 847-721-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038-006601) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |