Nina Socorro E. Maniquis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089901 Issued in IL

Practice address

303 E Park Ave
Suite 103
Libertyville, IL 60048-2898

Phone

(847) 522-7505

Fax

(847) 522-7504

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medaddress, S.C.Group PAC ID 1850444589, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Admire Home Healthcare Agency, Inc Home health agency, Skokie, IL, CCN 147818
• Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCHCBA/Endpoint/FCHCBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Medaddress, S.C.

  • Primary Care Clinic/Center
  • Libertyville, IL
  • NPI 1205075942
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Admire Home Health Care Agency, Inc.

  • Home Health Agency
  • Skokie, IL
  • NPI 1518972256
  Care Compare affiliation
• Advocate Condell Medical Center

  • Mobile Mammography Clinic/Center
  • Gurnee, IL
  • NPI 1023262441

  Hospital

  Care Compare affiliation
• Advocate Condell Medical Center

  • General Acute Care Hospital
  • Libertyville, IL
  • NPI 1124272547
  Care Compare affiliation
• Advocate Condell Medical Center

  • Mobile Mammography Clinic/Center
  • Grayslake, IL
  • NPI 1770737199

  Hospital

  Care Compare affiliation
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1649212010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E PARK AVE",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482898",
            "telephone_number": "847-522-7505",
            "fax_number": "847-522-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E PARK AVE",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482898",
            "telephone_number": "847-522-7505",
            "fax_number": "847-522-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIQUIS",
        "first_name": "NINA",
        "middle_name": "SOCORRO E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089901",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xochitl Maldonado
• Brian Malinowski, LMFT
• Theresa Rose Malvar, PHARMD
• Esther Manes, DPT
• Mia Mangialardi
• Vina Maria Estipona Maniquis, MD
• Dennis Edward Manning, D.D.S.
• Manor Care of Libertyville Il, LLC
• Louis J Manquen Jr., MD
• Carolina Manrriquez, MSW, LSW

• Family Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.