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

Miguel Enrique Manrique Palaviccini, MD

Individual provider Nephrology Physician · NPI 1831821099

Miguel Enrique Manrique Palaviccini, MD is a Nephrology Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3616 W Wilson Ave
Chicago, IL 60625-8159
Phone: (224) 409-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3134 N Clark St, Chicago, IL 60657-4414 — (312) 766-4949

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036.174840 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125081021 (IL)

Record details

NPI number1831821099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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