Individual
BARBARA BALDASSARRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 S MADISON AVE., LAGRANGE, IL 60525-2801
(708) 917-9660
Mailing address
504 S. MADISON, LA GRANGE, IL 60525
(708) 917-9660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
IL
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007807677
AETNA REGISTERED USER
CT
01
—
01636273
BLUE SHIELD PROVIDER
IL
Enumeration date
12/28/2006
Last updated
09/11/2025
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