Lacey Manimala

  • Berwyn, IL
  • Advanced practice midwife
NPI1023840725
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2024
Practice address
6201 Roosevelt Rd, Berwyn, IL 60402
Practice phone
Call (708) 386-0485
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

PCC South Family Health Center

FQHC - Main Site · Berwyn, Illinois

See all 2 affiliations

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Lacey Manimala is an advanced practice midwife in Berwyn, Illinois

Lacey Manimala practices at PCC South Family Health Center in Berwyn, Illinois.

Lacey Manimala's NPI, 1023840725, was assigned on August 20, 2024. Lacey Manimala holds Illinois license 209030375.

NPI and contact details
NPI enumeration date
August 20, 2024
NPI status
Active
Practice phone
(708) 386-0485
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Lacey Manimala practices at PCC South Family Health Center in Berwyn, Illinois

Lacey Manimala's primary practice is PCC South Family Health Center, at 6201 Roosevelt Rd, Berwyn, IL 60402 in Cook County. The practice phone is (708) 386-0485.

  • PCC South Family Health Center
    6201 Roosevelt Rd, Berwyn, IL 60402 · Cook CountyPhone(708) 386-0485

Source: Dmand AI Affiliation Data

Lacey Manimala is affiliated with 1 site of care and 1 medical group

Lacey Manimala's primary practice is PCC South Family Health Center in Berwyn, Illinois. The medical group on file is PCC Community Wellness Center.

PCC South Family Health CenterFQHC - Main Site · Berwyn, IllinoisPrimary
PCC Community Wellness CenterPrimary care group, Oak Park, ILParent health systemName with a free account
See all 2 affiliations for Lacey Manimala

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Lacey Manimala's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Lacey Manimala practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
PCC South Family Health CenterAvailable with a free account

Source: Dmand AI Technology Install Data

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Lacey Manimala is one of 335 advanced practice midwifes in Illinois

Advanced practice midwife is Lacey Manimala's primary specialty in the NPI Registry, under taxonomy code 367A00000X. Lacey Manimala is licensed in Illinois.

Specialties and state licenses

  • Advanced practice midwife, IllinoisPrimaryLicense 209030375 · taxonomy 367A00000X

Advanced practice midwifes near Lacey Manimala

Counts of advanced practice midwifes with a Dmand AI profile, by place and practice. Each opens the list.

335advanced practice midwifes in Illinois
6advanced practice midwifes in Berwyn

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Lacey Manimala's patients have a median age of 30

Across all payers, Dmand AI patient panel data puts Lacey Manimala's median patient age at 30, with 99% women.

Lacey Manimala's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 30

Patient panel by sex, all payers

  • Women99%
  • Men0%

Source: Dmand AI Patient Panel Data

Sources for Lacey Manimala's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Lacey Manimala

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Lacey Manimala's NPI number?

Lacey Manimala's NPI number is 1023840725. It was assigned on August 20, 2024, and it is active in the NPI Registry.

What does Lacey Manimala specialize in?

Lacey Manimala is an advanced practice midwife in Berwyn, Illinois. The primary specialty in the NPI Registry is Advanced Practice Midwife (taxonomy code 367A00000X).

Where does Lacey Manimala practice?

Lacey Manimala practices at 6201 Roosevelt Rd, Berwyn, IL 60402. Lacey Manimala's primary practice is PCC South Family Health Center in Berwyn, Illinois.

What is Lacey Manimala's office phone number?

The practice phone on file for Lacey Manimala is (708) 386-0485.

What is Lacey Manimala's medical license number?

Lacey Manimala holds Illinois license 209030375.

What medical group is Lacey Manimala part of?

Lacey Manimala is linked to PCC Community Wellness Center.

How long has Lacey Manimala been practicing?

Lacey Manimala's NPI was assigned in 2024.

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