MR. JON JAMES MIRABITO (NPI# 1467978049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467978049 |
| Entity Type | Individual |
| Full Name | MR. JON JAMES MIRABITO |
| Credential | PA-C |
| Practice Address |
2363 63rd St Woodridge IL 60517-1369 |
| Practice Telephone | 6037167510 |
| Mailing Telephone | 6037167510 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2363 63RD ST |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416380 | Jonathan David Meek | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2006-02-15 |
| 1497213805 | Caroline Sivik | Physician Assistant | 2363 63rd St, Woodridge, IL 60517-1369 | 2019-03-05 |
| 1427439462 | Helena Ann Keag | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-06-16 |
| 1316334816 | Lydia S Bruce | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-04-22 |
| 1982041471 | Laura Marie Norman | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-05-24 |
| 1528309879 | Elita Lois Hohner | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-03-12 |
| 1790046860 | Sonali Bhatnagar | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2012-06-05 |
| 1710287354 | Lalitha Nithyanandam | Pharmacist | 2363 63rd St, Woodridge, IL 60517-1369 | 2010-10-29 |
| 1790951689 | Kimberly Denise Cichy | Pharmacist | 2363 63rd St, Woodridge, IL 60517-1369 | 2008-05-01 |
| 1265640437 | Laura Coats | Pharmacist | 2363 63rd St, Woodridge, IL 60517-1369 | 2007-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1831597194 | Advanced Wellness Medical, LLC | General Practice | 6325 Main Street, Suite 120, Woodridge, IL 60517 | 2014-12-18 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| Find all providers in zip 60517 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114456258 | Courtney Burland | Physician Assistant | 6420 Double Eagle Dr Unit 512, Woodridge, IL 60517-1763 | 2017-06-10 |
| 1497213805 | Caroline Sivik | Physician Assistant | 2363 63rd St, Woodridge, IL 60517-1369 | 2019-03-05 |
| 1881135275 | Kaitlin Rea Macek | Physician Assistant | 3540 Seven Bridges Dr, Suite 230, Woodridge, IL 60517-1221 | 2017-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.