Doctor profile · Federal record

Dr. MIRIAM MANRIQUE

Nurse Practitioner · LA GRANGE PARK, IL

  • NPI 1104686203
  • 2 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
321 N LA GRANGE RD
LA GRANGE PARK, IL 605265622
(708) 745-5277
Mailing address
5220 EAST AVE
COUNTRYSIDE, IL 605253133

Credentials & registration

NPPES · NUCC
NPI registered
March 2024 — 2 yrs on file
Profile last updated
August 6, 2024
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Illinois #209.029153

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104686203. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$18
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
GlaxoSmithKline, LLC. 1 $17.68

By nature of payment

Food and Beverage
$18

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 20, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›