DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIINEDOCTOR, INC.

MEDICARE: MIINEDOCTOR, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1144795279
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIINEDOCTOR, INC.
Provider Business Mailing Address
First Line : 13755 CICERO AVE
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1824
Country : US
Telephone Number : 708-972-7636
Fax Number :
Provider Business Practice Location Address
First Line : 13755 CICERO AVE
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1824
Country : US
Telephone Number : 708-972-7642
Fax Number : 708-925-9179
Authorized Official
Title or Position : DIRECTOR OF CLINICAL OPERATIONS
Name : ASHLEY ROCK
Credential :
Telephone Number : 708-972-7636
Provider Enumeration Date : 10/04/2018
Last Update Date : 12/17/2021

Similar Medicare Providers

1194722108 — DR. SEJAL KALAWADIA MD
Practice Location Address:
13755 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-388-0499
Practice Fax: 708-388-0283
1447246822 — DR. DANIEL C DESIMONE MD
Practice Location Address:
13755 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-972-7642
Practice Fax: 708-925-9179
1558681577 — DR. J. BRADFORD HAMPSHIRE BERTUMEN M.D.
Practice Location Address:
13755 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-385-2400
Practice Fax: 708-385-2434
1104341163 — CRESTWOOD ASSOCIATED MEDICAL CENTER LTD
Practice Location Address:
13705 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-385-4416
Practice Fax: 708-388-8825
1720572506 — DR. LEON HSUEH MD
Practice Location Address:
13755 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-385-2400
Practice Fax: 708-385-7840
1306332697 — KRISTINE ASUNCION NP
Practice Location Address:
13755 CICERO AVE
CRESTWOOD, IL
60418-1824
Practice Phone: 708-385-2400
Practice Fax: 708-385-8130

Directions to “MIINEDOCTOR, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.