Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA BALDASSANO, PA-C
ActiveMARISA BALDASSANO, PA-C is a Physician Assistant healthcare provider located in BANNOCKBURN, Illinois. NPI 1821392978 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BANNOCKBURN, IL
Registration Details
- NPI Number
- 1821392978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2011 (15.586452951911 yrs)
- Last Updated
- Jul 1, 2024
- Licenses
-
085010442 (IL)PA.0006735 (CO)MA054617 (PA)
Practice Information
- Address
-
2151 WAUKEGAN RDBANNOCKBURN, IL, 600151885Browse IL providers · Browse ZIP 60015
- Phone
- 8474445300
- Fax
- 8472671429
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in BANNOCKBURN, IL
| Name | Credential | NPI |
|---|---|---|
| RACHEL GROSS | — | 1952649675 |
| MICHAEL WOLINSKI | — | 1013776673 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.