Healthcare Provider Details

I. General information

NPI: 1710617519
Provider Name (Legal Business Name): SABRINA MARIE FERRERO AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 W JACKSON BLVD APT 3K
CHICAGO IL
60607-2965
US

IV. Provider business mailing address

901 MACARTHUR BLVD
MUNSTER IN
46321-2959
US

V. Phone/Fax

Practice location:
  • Phone: 703-656-6555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: