Miriam Manrique
NPI #1104686203 in La Grange Park, Illinois
Provider Information
- NPI Number
- 1104686203
- Entity Type
- Individual
- Name
- Miriam Manrique
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 321 N LA GRANGE RD
- City
- La Grange Park
- State
- Illinois
- ZIP Code
- 60526-5622
- Phone
- (708) 745-5277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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