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

Miora

Organization Integrative Medicine Physician · NPI 1699560151

Miora is an Integrative Medicine Physician in Evanston, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1618 Sherman Ave
Evanston, IL 60201-3711
Phone: (855) 430-5433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X

Record details

NPI number1699560151
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifetime Fitness
Authorized official Arielle Dover Janicek — Nurse Practitioner · (866) 770-1588
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1618 Sherman Ave, Evanston, IL 60201-3711