Mirabito, Katelyn

Mirabito, Katelyn is an sole proprietor health care provider with primary practice located at 1515 E Lake St , Hanover Park IL 60133-4869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mirabito, Katelyn can be contacted via phone (847) 472-1500.

Contact Information

Primary practice address
1515 E Lake St Hanover Park IL 60133-4869
Phone: (847) 472-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6276 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002952A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006610 Illinois

Profile Details

NPI number 1720597891
LBN Legal business name Mirabito, Katelyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2017
Last updated Apr 1st, 2021 - about 4 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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