Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Manimala

Individual provider Advanced Practice Midwife · NPI 1023840725

Lacey Manimala is an Advanced Practice Midwife in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1026 Gunderson Ave
Oak Park, IL 60304-2118
Phone: (312) 509-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 209030375 (IL)
High-Risk Obstetric Registered Nurse Taxonomy 163WX0002X · Licence 041.447143 (IL)

Record details

NPI number1023840725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1026 Gunderson Ave, Oak Park, IL 60304-2118

Other providers in Oak Park