SearchIllinois207RN0300X

Miguel Manrique Palaviccini, MD

NPI 1831821099 · on the registry since 2022

Practice

Address
3616 W Wilson Ave
Chicago, IL 60625
Phone
(224) 409-0423

Additional practice sites

  • 3134 N Clark St, Chicago, IL

Registry record

Primary taxonomy
207RN0300X
207RN0300X
Also registered as
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois