Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miinedoctor, Inc

Organization Internal Medicine Physician · NPI 1144795279

Miinedoctor, Inc is an Internal Medicine Physician in Crestwood, Illinois. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13755 Cicero Ave
Crestwood, IL 60418-1824
Phone: (708) 972-7642
Fax: (708) 925-9179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1144795279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Rock — Director Of Clinical Operations · (708) 972-7636
NPI enumeratedOctober 4, 2018
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address13755 Cicero Ave, Crestwood, IL 60418-1824

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