Individual provider Active NPI

Vina Maria Estipona Maniquis, MD

  • Family Medicine Physician
  • Libertyville, IL
National Provider Identifier
1851497119
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099611 Issued in IL
Practice address
303 E Park Ave
Ste 103
Libertyville, IL 60048-2898
Phone
(847) 522-7505
Fax
(847) 522-7504
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-099611 IL Primary

Addresses

Primary practice location

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

Mailing address

303 E Park Ave
Ste 103
Libertyville, IL 60048-2898
Phone (847) 522-7505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041117000464 IL Practitioner - Family PracticePractitioner - Emergency Medicine 6103899166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1994
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)

303 E Park Ave
Suite 103
Libertyville, IL 60048-2856
Phone (847) 522-7505

Hospital & facility affiliations

  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099611ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medaddress, S.C. CurrentSince May 5, 2022 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince May 21, 2012 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Locations

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 N Larkin Ave
Joliet, IL 60435
Phone (815) 741-4300

750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160

303 E Park Ave
Ste 103
Libertyville, IL 60048
Phone (847) 362-5650

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1851497119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E PARK AVE",
            "address_2": "STE 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": "STE 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": "VINA MARIA",
        "middle_name": "ESTIPONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.