IndividualActive
Alex Vaughn
NPI 1780268169 · Student in an Organized Health Care Education/Training Program · Maywood, IL
Provider details
- NPI number
- 1780268169
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
Approximate (ZIP-level) locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-05-11
- Certified
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.