Ebalo, Mira Akbar

Ebalo, Mira Akbar is an sole proprietor health care provider with primary practice located at 9000 Waukegan Rd Ste 210 , Morton Grove IL 60053-2127. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ebalo, Mira Akbar can be contacted via phone (847) 967-5122.

Contact Information

Primary practice address
9000 Waukegan Rd Ste 210 Morton Grove IL 60053-2127
Phone: (847) 967-5122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.006738 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.006738 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.006738 Illinois

Profile Details

NPI number 1598247090
LBN Legal business name Ebalo, Mira Akbar
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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