Provider Demographics
NPI:1104828102
Name:VEGH, SARA R (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:VEGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1880 W WINCHESTER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5321
Mailing Address - Country:US
Mailing Address - Phone:847-362-3811
Mailing Address - Fax:847-362-0428
Practice Address - Street 1:1880 W WINCHESTER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048
Practice Address - Country:US
Practice Address - Phone:847-362-3811
Practice Address - Fax:847-362-0428
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-12-30
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Provider Licenses
StateLicense IDTaxonomies
IL036071818174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180012789OtherRR MEDICARE
IL036071818Medicaid
IL04901134OtherBLUE CROSS BLUE SHIELD
IL04901134OtherBLUE CROSS BLUE SHIELD