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Mira Akbar Ebalo, PA
Physician Assistant in Morton Grove, Illinois
NPI 1598247090

Mira Akbar Ebalo is a Physician Assistant based in Chicago, IL. Mira Akbar Ebalo practices in Morton Grove, IL and has the professional credentials of PA. The NPI Number for Mira Akbar Ebalo is 1598247090 and holds a License No. 085.006738 (Illinois).

The current practice location address for Mira Akbar Ebalo is 9000 Waukegan Rd Ste 210, Morton Grove, IL and can be reached out via phone at 847-967-5122. You can also correspond with Mira Akbar Ebalo through the mailing address at 4157 N CLARENDON AVE APT 512, CHICAGO, IL - 60613-2249 (mailing address contact number: ).

Location: 9000 Waukegan Rd Ste 210, Morton Grove, IL, 60613-2249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598247090
Provider Name
Mira Akbar Ebalo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9000 Waukegan Rd Ste 210, Morton Grove, IL, 60613-2249
Phone Number
847-967-5122
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9000 Waukegan Rd Ste 210
City
Morton Grove
State
Illinois
Zip
60053-2127
Phone Number
847-967-5122
Fax Number
person
Provider Business Mailing Address Details
Address
9000 Waukegan Rd Ste 210
City
Morton Grove
State
Illinois
Zip
60053-2127
Phone Number
847-967-5122
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.006738 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085.006738 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
085.006738 (Illinois)
Definition
Definition to come...
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