Vicencio, Julie

Vicencio, Julie is an individual health care provider with primary practice located at 525 E Congress Pkwy , Crystal Lake IL 60014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Vicencio, Julie can be contacted via phone (630) 962-6280.

Contact Information

Primary practice address
525 E Congress Pkwy Crystal Lake IL 60014
Phone: (630) 962-6280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012352 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209012352 Illinois

Profile Details

NPI number 1356739452
LBN Legal business name Vicencio, Julie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2014
Last updated Jan 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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