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
- 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
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104686203. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $17.68 |
By nature of payment
Frequently asked questions
What is Dr. Miriam Manrique's medical specialty?
Dr. Miriam Manrique practices Nurse Practitioner in La Grange Park, IL.
Where does Dr. Miriam Manrique practice?
Dr. Miriam Manrique practices at 321 N la Grange RD, La Grange Park, IL 605265622. Office phone: 7087455277.
What is Dr. Miriam Manrique's NPI?
Dr. Miriam Manrique's National Provider Identifier (NPI) is 1104686203, issued by NPPES.