Miriam Manrique
Miriam Manrique is a Nurse Practitioner in LA Grange Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
321 N La Grange RdLA Grange Park, IL 60526-5622
Phone: (708) 745-5277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209.029153 (IL) |
|---|
Record details
| NPI number | 1104686203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |