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THE MEDADDRESS, S.C.
NPI 1205075942
Clinic/Center - Primary Care in Libertyville, IL

Active since February 18, 2009
303 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048(847) 522-7505 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Medaddress, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MEDADDRESS, S.C. (NPI 1205075942) is a healthcare organization registered as a primary care in Libertyville, Illinois and active in the NPI registry since February 2009. The organization lists Nina S Maniquis, President, as its authorized official.

NPPES Registry Identity

NPI1205075942
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHE MEDADDRESS, S.C.
Location Address303 E PARK AVE, SUITE 103Libertyville, IL 60048-2898
Mailing Address303 E Park Ave, Ste 103Libertyville, IL 60048-2872 · (847) 522-7505 · Fax (847) 522-7504
Phone(847) 522-7505
Organization SubpartNo
Authorized OfficialNina S ManiquisPresident · (847) 522-7505
Enumeration DateFebruary 18, 2009
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1205075942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
303 E PARK AVE, Libertyville, IL 60048
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Other Identifiers 1

Medicaid042619466IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER E HARRIS MD LTD
Family Medicine
303 E PARK AVE
LIBERTYVILLE, IL 60048
Lake County (847) 367-0800
CESAR G. MANIQUIS, M.D., LTD.
Clinic/Center
303 E PARK AVE, SUITE 103
LIBERTYVILLE, IL 60048
Lake County (847) 362-5650
NINA SOCORRO E. MANIQUIS M.D.
Family Medicine
303 E PARK AVE, SUITE 103
LIBERTYVILLE, IL 60048
Lake County (847) 522-7505
DR. VINA MARIA ESTIPONA MANIQUIS MD
Family Medicine
303 E PARK AVE, STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 522-7505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Medaddress, S.C.'s NPI number?

The NPI number for The Medaddress, S.C. is 1205075942. It was assigned to this organization in the NPPES registry on February 18, 2009.

Where is The Medaddress, S.C. located?

The Medaddress, S.C. is located at 303 E Park Ave Suite 103, Libertyville, IL 60048. The listed phone number is (847) 522-7505.

What is The Medaddress, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for The Medaddress, S.C. was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.