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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANELE MCGOWAN VAUGHN, MD

Active

DR. SHANELE MCGOWAN VAUGHN, MD is a Interventional Vascular Surgery healthcare provider located in OAK LAWN, Illinois. NPI 1902194822 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · OAK LAWN, IL

Registration Details

NPI Number
1902194822
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2011 (15.111476429457 yrs)
Last Updated
Nov 12, 2025
Licenses
2025-00347 (NC)
04-49689 (KS)
036136261 (IL)
036136261 (IL)
C1-0027603 (DE)

Practice Information

Address
5571 W 95TH ST
OAK LAWN, IL, 604532356
Browse IL providers · Browse ZIP 60453
Phone
7089729695
Fax
7084010194
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Neurology
Additional Specialty
Neurology
Additional Specialty
2084P2900X

Other Interventional Vascular Surgery Providers in OAK LAWN, IL

Name Credential NPI
DR. BENJAMIN PENG M.D. 1366499840
DR. CHRISTIAN DANNHAUSEN-BRUN M.D. 1821035478
DR. ELISA KEH-WONG M.D. 1063459303
DR. JONATHAN WYATT M.D. 1750321204
DR. AJIT KUMAR M.D. 1609818558
DR. RIFAT S KHAN M.D. 1972546877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.