Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jon James Mirabito, PA-C

Individual provider Physician Assistant · NPI 1467978049

Mr. Jon James Mirabito, PA-C is a Physician Assistant in Lombard, Illinois. Qualified in 2017, 9 years ago. Practices with Elmhurst Memorial Hospital, a 83-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

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

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Practice location Address checks out

130 S Main St
Lombard, IL 60148-2670
Phone: (331) 221-5809
Fax: (331) 221-3931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 396 Remington Blvd Ste 240, Bolingbrook, IL 60440-4307 — (630) 226-0664
  • 2363 63rd St, Woodridge, IL 60517-1369 — (603) 716-7510

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-006609 (IL)

Record details

NPI number1467978049
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2017
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

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 locations5 on file with Medicare

Other providers in Lombard