Miinedoctor, Inc.

NPI #1144795279 in Crestwood, Illinois

Provider Information

NPI Number: 1144795279
Entity Type: Organization
Organization Name: Miinedoctor, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 4, 2018
Last Updated: Dec 17, 2021

Practice Location

Address: 13755 CICERO AVE
City: Crestwood
State: Illinois
ZIP Code: 60418-1824
Phone: (708) 972-7642

Authorized Official

Name: ASHLEY ROCK
Title: DIRECTOR OF CLINICAL OPERATIONS
Phone: (708) 972-7636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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