Baldassano, Marisa

Baldassano, Marisa is an individual health care provider with primary practice located at 2151 Waukegan Rd , Bannockburn IL 60015-1885. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Baldassano, Marisa can be contacted via phone (847) 444-5300.

Contact Information

Primary practice address
2151 Waukegan Rd Bannockburn IL 60015-1885
Phone: (847) 444-5300
Fax: (847) 267-1429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085010442 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0006735 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA054617 Pennsylvania

Profile Details

NPI number 1821392978
LBN Legal business name Baldassano, Marisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Jul 1st, 2024 - 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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