Individual provider · Type 1 NPI

Julie Vicencio, NP

Nurse Practitioner · Crystal Lake, IL

NPI number 1356739452 Active

Practice location

525 E Congress Pkwy
Crystal Lake, IL 60014

Call (630) 962-6280 Map

Mailing address

3538 Hopewell Pl
Elgin, IL 60124-5705

Other practice locations

486 Randall Rd Unit B, South Elgin, IL 60177-3354 · (224) 783-5000

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	209012352 (IL)
Nurse Practitioner Primary	363L00000X	209012352 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1356739452

Julie Vicencio, NP's National Provider Identifier is 1356739452, issued on Dec 26, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jan 10, 2024.