Marisa Baldassano, PA-C

NPI #1821392978 in Bannockburn, Illinois

Provider Information

NPI Number: 1821392978
Entity Type: Individual
Name: Marisa Baldassano, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 4, 2011
Last Updated: Jul 1, 2024

Practice Location

Address: 2151 WAUKEGAN RD
City: Bannockburn
State: Illinois
ZIP Code: 60015-1885
Phone: (847) 444-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant - Medical — Medical	363AM0700X

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