Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Azalea Vicenteno

Individual provider Family Nurse Practitioner · NPI 1386187912

Azalea Vicenteno is a Nurse Practitioner in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

3600 W Fullerton Ave
Chicago, IL 60647-2319
Phone: (773) 782-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015196 (IL)

Record details

NPI number1386187912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address1464 S Michigan Ave, 1402, Chicago, IL 60605-3711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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