Miora

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

MIORA

Practice address

1618 Sherman Ave
Evanston, IL 60201-3711

Phone

(855) 430-5433

NPI assigned

Apr 14, 2025

Organization subpart

Yes

Parent organization

LIFETIME FITNESSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arielle Dover Janicek, APRN

Title

Nurse Practitioner

Phone

(866) 770-1588

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Miora

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arielle Dover, APRN

  • Pediatric Nurse Practitioner
  • Chicago, IL
  • NPI 1770350803
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1699560151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013711",
            "telephone_number": "855-430-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013711",
            "telephone_number": "855-430-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIORA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFETIME FITNESS",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "DOVER JANICEK",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "866-770-1588",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed M Minhaj, MD
• Faye Minkow, LCSW
• Alyson Minkus, LCSW, CADC
• Ruth Ellen Minnick, LPC
• Travis Minniear
• Nasima Mir Coria, PHARM. D.
• Mirelle D. Bloch, Psy.D., LLC
• Donald J Miro, PH.D.
• Roma Mirutenko
• Nabila Mirza

• Integrative Medicine Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Integrative Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.