Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATELYN MIRABITO, PA-C
Active Sole ProprietorKATELYN MIRABITO, PA-C is a Physician Assistant healthcare provider located in HANOVER PARK, Illinois. NPI 1720597891 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HANOVER PARK, IL
Registration Details
- NPI Number
- 1720597891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2017 (8.9421862390642 yrs)
- Last Updated
- Apr 1, 2021
- Licenses
-
PA6276 (MA)10002952A (IN)085006610 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1515 E LAKE STHANOVER PARK, IL, 601334869Browse IL providers · Browse ZIP 60133
- Phone
- 8474721500
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HANOVER PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH PHILLIPS KELLEY | PA-C | 1386786184 |
| MS. SAIRA SAJID CHATHA | PA-C | 1033898705 |
| LUIS EDUARDO CRUZ | PA | 1477324754 |
| ELISABETH LAYTON | PA-C | 1750114310 |
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.