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MIORA
NPI 1699560151
Integrative Medicine in Evanston, IL

Active since April 14, 2025CLIA 14D2317331 · Waiver
1618 SHERMAN AVE, EVANSTON, IL 60201(855) 430-5433 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miora NPPES

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

MIORA (NPI 1699560151) is a healthcare organization registered as an integrative medicine in Evanston, Illinois and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Arielle Dover Janicek, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1699560151
Entity TypeOrganization
Primary Taxonomy202D00000X
Legal Business NameMIORA
Location Address1618 SHERMAN AVEEvanston, IL 60201-3711
Mailing Address1618 Sherman AveEvanston, IL 60201-3711 · (855) 430-5433
Phone(855) 430-5433
Organization SubpartYesParent: Lifetime Fitness
Authorized OfficialArielle Dover JanicekNurse Practitioner · (866) 770-1588
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1699560151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
Definition
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.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
1618 SHERMAN AVE, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2317331

Miora · Evanston, IL
Active · expires Jan 21, 2027
CLIA Number14D2317331
Laboratory TypeHealth/Fitness Club
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorGregory Pippert
Laboratory Phone(855) 430-5433
Laboratory LocationMiora1618 Sherman Ave, Evanston, IL 60201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miora's NPI number?

The NPI number for Miora is 1699560151. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Miora located?

Miora is located at 1618 Sherman Ave, Evanston, IL 60201. The listed phone number is (855) 430-5433.

What is Miora's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Does Miora hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2317331) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miora was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.