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MIRA EBALO, PA

PA

Physician Assistant

NPI: 1598247090IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

085.006738(IL)
Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

085.006738(IL)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085.006738(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2018

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Contact & Hours

Address
9000 WAUKEGAN RD STE 210
MORTON GROVE, IL 60053

Quick Facts

NPI
1598247090
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
8

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