MIORA
NPI 1699560151
Integrative Medicine in Evanston, IL
- Organization
- Integrative Medicine
- CLIA Number: 14D2317331
- CLIA Cert. Type: Other - HEALTH/FITNESS CLUB
- CLIA Exp. Date: 01-21-2027
About MIORA
This page provides the complete NPI Profile along with additional information for Miora, a provider established in Evanston, Illinois operating as a Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1699560151 assigned on April 2025. The practitioner's primary taxonomy code is 202D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Miora operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Arielle Dover Janicek Aprn (Nurse Practitioner)
- NPI
- 1699560151 Verify this NPI
- Provider Name
- MIORA
- Entity Type
- Organization
- Location Address
- 1618 SHERMAN AVE EVANSTON, IL 60201
- Location Phone
- (855) 430-5433
- Mailing Address
- 1618 SHERMAN AVE EVANSTON, IL 60201
- Mailing Phone
- (855) 430-5433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-14-2025
- Last Update Date
- 04-14-2025
- Code Navigator
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
Integrative Medicine
- Taxonomy Code
- 202D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2317331
- Facility Type
- Other - HEALTH/FITNESS CLUB
- Certificate Effective Date
- January 22, 2025
- Certificate Expiration Date
- January 21, 2027
- Laboratory Director
- GREGORY PIPPERT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Miora to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699560151, enumerated as an "organization" on April 14, 2025.
The provider is located at 1618 SHERMAN AVE EVANSTON, IL 60201 and the phone number is (855) 430-5433.
Integrative Medicine with taxonomy code 202D00000X.