Individual provider · Type 1 NPI

Julie L. Vivanco, FNP-BC

Family Nurse Practitioner · Chicago, IL

NPI number 1659846301 Active

Practice location

2003 W Fulton St
Chicago, IL 60612-2345

Fax (312) 243-2227

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209029725 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1659846301

Julie L. Vivanco, FNP-BC's National Provider Identifier is 1659846301, issued on Oct 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Oct 6, 2025.