Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Mirabito, PA-C

Individual provider Physician Assistant · NPI 1720597891

Katelyn Mirabito, PA-C is a Physician Assistant in Hanover Park, Illinois. Qualified in 2017, 9 years ago. Practices with Elmhurst Memorial Hospital, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Massachusetts.

Years since qualifying
9
Licensed in
IL, IN, MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1515 E Lake St
Hanover Park, IL 60133-4869
Phone: (847) 472-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1339 W Lake St, Addison, IL 60101-1836 — (630) 930-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006610 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA6276 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 10002952A (IN)

Record details

NPI number1720597891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 21, 2017
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Elmhurst Memorial Hospital — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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