Individual
DR. SARA VERGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9902 WEST ROOSEVELT ROAD, WEST CHESTER, IL 60154-2770
(708) 343-4628
(708) 343-4632
Mailing address
1516 WILLOWCREEK LANE, DARIEN, IL 60561
(708) 343-4620
(708) 343-4632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036094498
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626666
BCBS PUR INSURANCE
IL
05
—
036094498
—
IL
Enumeration date
12/27/2006
Last updated
03/07/2023
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