POLLY MARIE VAUGHN NPI 1750754008

NPI Information

  • NPI: 1750754008
  • Provider Name: POLLY MARIE VAUGHN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 206 CHESTERFIELD CT
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 603-2425

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NPI Details

Polly Marie Vaughn is a professional counselor in Bourbonnais, IL. Polly Marie Vaughn NPI is 1750754008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

206 CHESTERFIELD CT
BOURBONNAIS, IL
ZIP 60914-652
Phone: (815) 603-2425

The NPI 1750754008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/9/2015 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180009894ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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