Provider Demographics
NPI:1508000415
Name:PETRONE ABETE, SARAH A
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:A
Last Name:PETRONE ABETE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:PETRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16508 66TH CT
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1768
Mailing Address - Country:US
Mailing Address - Phone:708-444-2451
Mailing Address - Fax:
Practice Address - Street 1:16508 66TH CT
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1768
Practice Address - Country:US
Practice Address - Phone:708-444-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist