Mira Akbar Ebalo, PA
NPI #1598247090 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1598247090
- Entity Type
- Individual
- Name
- Mira Akbar Ebalo, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 30, 2018
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 9000 WAUKEGAN RD STE 210
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2127
- Phone
- (847) 967-5122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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