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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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