Provider Demographics
NPI:1811166978
Name:SARA VEGH, M.D., S.C.
Entity type:Organization
Organization Name:SARA VEGH, M.D., S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:VEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-888-2020
Mailing Address - Street 1:1670 CAPITAL ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-7837
Mailing Address - Country:US
Mailing Address - Phone:847-888-2020
Mailing Address - Fax:847-888-0650
Practice Address - Street 1:1670 CAPITAL ST STE 100
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-7837
Practice Address - Country:US
Practice Address - Phone:847-888-2020
Practice Address - Fax:847-888-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036071818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04901134OtherBLUE CROSS BLUE SHIELD
ILDG5819OtherRAILROAD MEDICARE GROUP #
IL036071818Medicaid
IL1770656787OtherDURABLE MEDICAL & SUPPLIE
IL04901134OtherBLUE CROSS BLUE SHIELD
ILDG5819OtherRAILROAD MEDICARE GROUP #