Search › Illinois › 363A00000X
Marisa Baldassano, PA-C
NPI 1821392978 · on the registry since 2011
Practice
- Address
- 2151 Waukegan Rd
Bannockburn, IL 60015 - Phone
- (847) 444-5300
- Fax
- (847) 267-1429
- Organisation at this address
- Michael Ankin Md Ltd
Unique Medical Imaging Sc
Gurnee Radiology Center, Llc
North Shore Cardiologists Sc
Bannockburn Health Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Additional practice sites
- 12605 E 16th Ave, Aurora, CO
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
363AM0700X - Licence states on file
- IL, CO, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois