| Lacey Manimala, | |
|
1026 Gunderson Ave, Oak Park, IL 60304-2118 | |
| (312) 509-1616 | |
| Not Available |
| Full Name | Lacey Manimala |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1026 Gunderson Ave, Oak Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023840725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209030375 (Illinois) | Primary |
| 163WX0002X | Registered Nurse - Obstetric, High-risk | 041.447143 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Manimala, 1026 Gunderson Ave, Oak Park, IL 60304-2118 Ph: (312) 509-1616 | Lacey Manimala, 1026 Gunderson Ave, Oak Park, IL 60304-2118 Ph: (312) 509-1616 |
Amy Elizabeth Willen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 | |
Mrs. Julie Anne Irvine, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd Ste 208, Oak Park, IL 60301 Phone: 708-488-1004 | |
Elizabeth A Solis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1024 North Blvd Ste 208, Oak Park, IL 60301 Phone: 708-386-4292 Fax: 708-848-4886 | |
Anne M Gallagher, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6030 Roosevelt Rd, Oak Park, IL 60304 Phone: 708-386-0845 Fax: 708-386-8472 | |
Ms. Gayle L Riedmann, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 | |
Nicole Trimble Shapiro, CNM, MS Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 |