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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE VICENCIO, NP

Active

JULIE VICENCIO, NP is a Nurse Practitioner healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1356739452 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CRYSTAL LAKE, IL

Registration Details

NPI Number
1356739452
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2014 (11.628883971759 yrs)
Last Updated
Jan 10, 2024
Licenses
209012352 (IL)
209012352 (IL)

Practice Information

Address
525 E CONGRESS PKWY
CRYSTAL LAKE, IL, 60014
Browse IL providers · Browse ZIP 60014
Phone
6309626280
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CRYSTAL LAKE, IL

Name Credential NPI
SANDRA JAESCHKE CNP 1003815770
SARAH FERGUSON NP 1518072206
CHRISTINE C HEPPERLEN NP 1316017007
MRS. GINA C CHMELA APN 1558668764
MS. SUSAN LYNN BOCKMAN MSN, CNP 1710266903
RACHEL R KINNAS WHNP-BC 1336492198
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.