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Mira Ebalo, PA

NPI 1598247090 · on the registry since 2018 · sole proprietor

Practice

Address
9000 Waukegan Rd Ste 210
Morton Grove, IL 60053
Phone
(847) 967-5122
Organisation at this address
Ibji, Llc
Rich Noren Llc
Morton Grove Pain Center
Suburban Pediatrics, Ltd.
Loren S Schechter Md Sc Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois