Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Korin Elise Vaughn

Individual provider Physician Assistant · NPI 1780320028

Korin Elise Vaughn is a Physician Assistant in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 996-7298
Fax: (312) 413-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 148 Mansfield Ave Apt 18, Shelby, OH 44875-8624 — (800) 992-6682

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009238 (IL)

Record details

NPI number1780320028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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