Organization Name: | SARA R. VEGH,O.D.,M.D.,S.C. |
NPI Number: | 1770656787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA REBECCA VEGH (PRESIDENT) |
Mailing Address: | 1880 W Winchester Rd Suite 105 Libertyville |
State: | IL US |
Postal Code: | 600485341 |
Phone Number: | 8473623811 |
Fax Number: | 8473620428 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 036071818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |