Organization
SARA R. VEGH,O.D.,M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA REBECCA VEGH M.D. (PRESIDENT)
(847) 362-3811
Entity
Organization
Contact information
Practice address
1880 W WINCHESTER RD, SUITE 105, LIBERTYVILLE, IL 60048-5341
(847) 362-3811
(847) 362-0428
Mailing address
1880 W WINCHESTER RD, SUITE 105, LIBERTYVILLE, IL 60048-5341
(847) 362-3811
(847) 362-0428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036071818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071818
—
IL
01
—
04901134
BLUE CROSS BLUE SHIELD
IL
01
—
1770656787
GROUP NPI
IL
01
—
DG5819
RAILROAD MEDICARE GROUP #
IL
Enumeration date
11/16/2006
Last updated
06/18/2013
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