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

Nina Socorro E. Maniquis, MD

Individual provider Family Medicine Physician · NPI 1649212010

Nina Socorro E. Maniquis, MD is a Family Practice in Libertyville, Illinois. Qualified in 1987, 39 years ago. Practices with The Medaddress, SC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
39
Licensed in
IL
In the registry since
2006
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

303 E Park Ave Ste 103
Libertyville, IL 60048-2898
Phone: (847) 522-7505
Fax: (847) 522-7504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036089901 (IL)

Record details

NPI number1649212010
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 31, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice The Medaddress, S.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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