Individual
SARA R VEGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1880 W WINCHESTER RD, SUITE 105, LIBERTYVILLE, IL 60048
(847) 362-3811
(847) 362-0428
Mailing address
1880 W WINCHESTER RD, SUITE 105, LIBERTYVILLE, IL 60048-5321
(847) 362-3811
(847) 362-0428
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036071818
IL
207W00000X
Ophthalmology Physician
Primary
036071818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071818
—
IL
01
—
04901134
BLUE CROSS BLUE SHIELD
IL
01
—
180012789
RR MEDICARE
IL
Enumeration date
08/10/2005
Last updated
12/30/2021
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