Lacey Manimala
Certified nurse-midwife (advanced practice) in Oak Park, IL
Registered providerLicense # listed (IL)
Public-record details
- Address
- 1026 Gunderson Ave, Oak Park, IL 60304
- Phone
- (312) 509-1616
- Listed under
- Certified nurse-midwives (CNM, CM)
- Listing type
- Certified nurse-midwife (advanced practice) (individual NPI)
- NPI
- 1023840725
- NPI status
- Active in the NPPES registry
- Registered specialty (self-reported taxonomy)
- Advanced Practice Midwife (367A00000X)
- License number on NPI record
- 209030375 (IL)
- NPI first issued
- Aug 20, 2024
- License state on NPI record
- IL
- Years since NPI first issued
- 2 years (since 2024)
- NPI record last updated
- Sep 12, 2024
- Birth center, midwife and doula listings at this street address
- 1 (only this one)
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