Individual
MARISA BALDASSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2151 WAUKEGAN RD, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-1429
Mailing address
2151 WAUKEGAN RD STE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-1429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010442
IL
363AM0700X
Medical Physician Assistant
MA054617
PA
363AS0400X
Surgical Physician Assistant
PA.0006735
CO
Other
Enumeration date
01/04/2011
Last updated
07/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us