NPIMap

Individual provider Active NPI

Erin Vaughan, MD

  • Family Medicine Physician
  • Westchester, IL
National Provider Identifier
1992756068
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36109983 Issued in IL
Practice address
2434 Wolf Rd
Westchester, IL 60154-5634
Phone
(708) 562-5430
Fax
(708) 562-8330
NPI assigned
May 13, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36109983 IL Primary

Addresses

Primary practice location

2434 Wolf Rd
Westchester, IL 60154-5634

Mailing address

2434 Wolf Rd
Westchester, IL 60154-5634
Phone (708) 562-5430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin.vaughan.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000252 IL Practitioner - Family Practice 3971492760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Midwest HealthGroup PAC ID 2769790401, 13 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

1325 Community Memorial Dr
La Grange, IL 60525-2659
Phone (708) 245-8900

2434 Wolf Rd
Westchester, IL 60154-5634
Phone (708) 562-5430

396 Remington Blvd
Bolingbrook, IL 60440-4311

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-7044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36109983ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 15, 2017 Accepting new patients
Adventist Midwest Health Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Adventist Midwest Health CurrentSince Jun 28, 2016 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Jan 15, 2017 Accepting new patients
Adventist Midwest Health Current Accepting new patients
Adventist Midwest Health Family Medicine CurrentSince Jun 28, 2016 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Joseph Lagattuta MD LTD Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

5201 Willow Springs Rd
La Grange Highlands, IL 60525
Phone (630) 323-5214

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

2434 Wolf Rd
#C
Westchester, IL 60154
Phone (708) 562-5430

Interoperability endpoints

  • Direct secure messaging: erin.vaughan.1@380.direct.athenahealth.com
  • Direct secure messaging: evaughan1240221@adventhealth.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1992756068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545634",
            "telephone_number": "708-562-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545634",
            "telephone_number": "708-562-5430",
            "fax_number": "708-562-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36109983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin.vaughan.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2434 Wolf Rd",
            "city": "Westchester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601545634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.