institution
Joseph H. Vaughn
Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, Illinois
NPI 1851457121

Joseph H. Vaughn is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Rockford, IL and is specialized in Mental Health (Including Community Mental Health Center). Joseph H. Vaughn practices in Rockford, IL. The NPI Number for Joseph H. Vaughn is 1851457121 and holds a License No. (Illinois).

The current practice location address for Joseph H. Vaughn is 4875 Manhattan Dr, Rockford, IL and can be reached out via phone at 815-227-4673 and via fax at 815-227-4675.

Location: 4875 Manhattan Dr, Rockford, IL, 61108
institution
Provider Profile Details
NPI Number
1851457121
Provider Name
Joseph H. Vaughn
Credential
Provider Entity Type
Organization
Address
4875 Manhattan Dr, Rockford, IL, 61108
Phone Number
815-227-4673
Fax Number
815-227-4675
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10121306 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4875 Manhattan Dr
City
State
Zip
61108
Phone Number
815-227-4673
Fax Number
815-227-4675
person
Provider Business Mailing Address Details
Address
4875 Manhattan Dr
City
State
Zip
61108
Phone Number
815-227-4673
Fax Number
815-227-4675
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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