Baldassarre, Barbara
Baldassarre, Barbara is an sole proprietor health care provider with primary practice located at 504 S Madison Ave. , Lagrange IL 60525-2801. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Baldassarre, Barbara can be contacted via phone (708) 917-9660.Contact Information
Primary practice address
504 S Madison Ave.
Lagrange IL 60525-2801
Phone: (708) 917-9660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | Illinois | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | Illinois |
Profile Details
| NPI number | 1619033610 |
|---|---|
| LBN Legal business name | Baldassarre, Barbara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619033610 | NPPES |
| Connecticut | Other | 0007807677 | AETNA REGISTERED USER |
| Connecticut | Other | 01636273 | AETNA REGISTERED USER |
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