NPI 1699560151
Miora
Practice location
- Address
- 1618 Sherman Ave, Evanston, IL 60201-3711
- Phone
- (855) 430-5433
Authorised official
- Name
- Arielle Dover Janicek
- Title
- Nurse Practitioner
- Phone
- (866) 770-1588
Registered specialties (2)
Integrative Medicine Physician
Primary
Public Health & General Preventive Medicine Physician
Registry record
- NPI
- 1699560151
- Entity type
- Organization
- NPI issued
- 14 Apr 2025
- Record last updated
- 14 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.