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

Q: What is Miinedoctor, Inc.'s NPI number?

The NPI number for Miinedoctor, Inc. is 1144795279. It was assigned to this organization in the NPPES registry on October 4, 2018.

Q: What is Miinedoctor, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Miinedoctor, Inc. was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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

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About Miinedoctor, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIINEDOCTOR, INC. (NPI 1144795279) is a healthcare organization registered as an internal medicine in Crestwood, Illinois and active in the NPI registry since October 2018. The organization lists Ashley Rock, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1144795279

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMIINEDOCTOR, INC.

Location Address13755 CICERO AVECrestwood, IL 60418-1824

Mailing Address13755 Cicero AveCrestwood, IL 60418-1824 · (708) 972-7636

Phone(708) 972-7642

Fax(708) 925-9179

Organization SubpartNo

Authorized OfficialAshley RockDirector Of Clinical Operations · (708) 972-7636

Enumeration DateOctober 4, 2018

Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1144795279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

13755 CICERO AVE, Crestwood, IL 60418

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEJAL KALAWADIA MD

Internal Medicine (Nephrology)