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Deactivated NPI 1053754242 Deactivated / Inactive NPI Male Practitioner

Dr. Donald Jeffery Ebalo , MD

Internal Medicine • Wheaton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Donald Ebalo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2013
NPI Deactivation Date September 18, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Donald Ebalo, MD was a registered Internal Medicine practicing in Wheaton, IL. Throughout an active medical career spanning 12 years, Dr. Ebalo provided care at the practice location at 25 W 740 RED MAPLE LANE until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

25 W 740 Red Maple Lane

Wheaton, IL 60189

Telephone 6306823626

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Wheaton, IL (7544 Statewide)

Telehealth Adoption Rate
56.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036.035635

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2025

Record deactivated on September 18, 2025

NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2013

Registered at 25 W 740 RED MAPLE LANE, WHEATON, IL 60189 (Tel: 6306823626)

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Updated Business Mailing Address April 08, 2013

Registered at 25 W 740 RED MAPLE LANE, WHEATON, IL 60189 (Tel: 6306823626)

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Provider Name / Credentials Updated April 08, 2013

Recorded as DONALD EBALO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Internal Medicine (License #036.035635 in IL)

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Initial NPI Registration & Enumeration April 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053754242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2013
Last Update: April 08, 2013
Deactivation Date: September 18, 2025

Mailing Address

25 W 740 Red Maple Lane

Wheaton, IL 60189

Phone: 6306823626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.