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
Fax: (708) 343-4632
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790841732 NPPES
Illinois Other 01626666 BCBS PUR INSURANCE
Illinois MEDICAID 036094498 BCBS PUR INSURANCE

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