SearchIllinois363A00000X

Katelyn Mirabito, PA-C

NPI 1720597891 · on the registry since 2017 · sole proprietor

Practice

Address
1515 E Lake St
Hanover Park, IL 60133
Phone
(847) 472-1500
Organisation at this address
Greater Family Health
Ls Medical Group,L.L.C.
Mea Medical Care Centers, Llc
Alexian Brothers Home Infusion
Alexian Brothers Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 1339 W Lake St, Addison, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
Licence states on file
MA, IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-01

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