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: July 19, 2026.

  • 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
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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)
12083P0901XAllopathic & Osteopathic Physicians

Preventive Medicine
Public Health & General 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.

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

ARIELLE DOVER JANICEK APRN

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(866) 770-1588

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.

Reviews for MIORA

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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.