Mira Akbar Ebalo, PA
Mira Akbar Ebalo, PA is a Physician Assistant in Morton Grove, Illinois. Qualified in 2018, 8 years ago. Practices with Clarity Clinic LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 8
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
9000 Waukegan Rd Ste 210Morton Grove, IL 60053-2127
Phone: (847) 967-5122
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.006738 (IL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085.006738 (IL) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 085.006738 (IL) |
Record details
| NPI number | 1598247090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2018 |
| Last updated in NPPES | August 30, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Clarity Clinic Llc — 109 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |