Verghese, Sara
Verghese, Sara is an sole proprietor health care provider with primary practice located at 9902 West Roosevelt Road , West Chester IL 60154-2770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Verghese, Sara can be contacted via phone (708) 343-4628.Contact Information
Primary practice address
9902 West Roosevelt Road
West Chester IL 60154-2770
Phone: (708) 343-4628
Fax: (708) 343-4632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036094498 | Illinois |
Profile Details
| NPI number | 1790841732 |
|---|---|
| LBN Legal business name | Verghese, Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790841732 | NPPES |
| Illinois | Other | 01626666 | BCBS PUR INSURANCE |
| Illinois | MEDICAID | 036094498 | BCBS PUR INSURANCE |
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