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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
Contact & Hours
- Address
- 9000 WAUKEGAN RD STE 210
MORTON GROVE, IL 60053 - Phone
- (847) 967-5122
Quick Facts
- NPI
- 1598247090
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 8
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