MIINEDOCTOR, INC.
NPI 1144795279
Internal Medicine in Crestwood, IL

Active since October 04, 2018
13755 CICERO AVE, CRESTWOOD, IL 60418(708) 972-7642(708) 925-9179 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Jan 22, 2021, Oct 4, 2018 (3 updates tracked since 2018).

  • Organization
  • Internal Medicine

About MIINEDOCTOR, INC.

This page provides the complete NPI Profile along with additional information for Miinedoctor, Inc., an internist established in Crestwood, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1144795279 assigned on October 2018. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ashley Rock (Director Of Clinical Operations)

NPI
1144795279 Verify this NPI
Provider Name
MIINEDOCTOR, INC.
Entity Type
Organization
Location Address
13755 CICERO AVE CRESTWOOD, IL 60418
Location Phone
(708) 972-7642
Location Fax
(708) 925-9179
Mailing Address
13755 CICERO AVE CRESTWOOD, IL 60418
Mailing Phone
(708) 972-7636
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2018
Last Update Date
12-17-2021
Code Navigator

An internist like Miinedoctor, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ASHLEY ROCK

Authorized Official Title
DIRECTOR OF CLINICAL OPERATIONS
Authorized Official Phone
(708) 972-7636

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
13755 CICERO AVE
CRESTWOOD, IL 60418
Nurse Practitioner (Family)
13755 CICERO AVE
CRESTWOOD, IL 60418
Internal Medicine
13755 CICERO AVE
CRESTWOOD, IL 60418
Internal Medicine (Infectious Disease)
13755 CICERO AVE
CRESTWOOD, IL 60418
Internal Medicine (Nephrology)
13755 CICERO AVE
CRESTWOOD, IL 60418
Internal Medicine
13755 CICERO AVE
CRESTWOOD, IL 60418
Internal Medicine (Infectious Disease)
13755 CICERO AVE
CRESTWOOD, IL 60418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144795279, enumerated as an "organization" on October 04, 2018.

The provider is located at 13755 CICERO AVE CRESTWOOD, IL 60418 and the phone number is (708) 972-7642.

Internal Medicine with taxonomy code 207R00000X.