Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA AKBAR EBALO, PA
Active Sole ProprietorMIRA AKBAR EBALO, PA is a Physician Assistant healthcare provider located in MORTON GROVE, Illinois. NPI 1598247090 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MORTON GROVE, IL
Registration Details
- NPI Number
- 1598247090
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2018 (7.9399749613427 yrs)
- Last Updated
- Aug 30, 2018
- Licenses
-
085.006738 (IL)085.006738 (IL)085.006738 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9000 WAUKEGAN RD STE 210MORTON GROVE, IL, 600532127Browse IL providers · Browse ZIP 60053
- Phone
- 8479675122
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MORTON GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| JONATHAN GARRETT | P.A. | 1558367482 |
| SUSANNE LEWANDOWSKI | PA | 1669425674 |
| AMANDA ANDREWS | PA | 1154377505 |
| JUDY LEGASPI | PA | 1548286545 |
| PATRICK KNOTT | PA | 1043311798 |
| MISS NICHELLE J PAJEAU | P.A. | 1609950807 |
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.