MEDICARE: DR. SABRINA MARIE FERRERO AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1710617519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABRINA MARIE FERRERO AUD

Provider Business Mailing Address
First Line	:	901 MACARTHUR BLVD
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 W JACKSON BLVD APT 3K
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2965
Country	:	US
Telephone Number	:	703-656-6555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	10/12/2023

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