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

Julie Vicencio, NP

Individual provider Family Nurse Practitioner · NPI 1356739452

Julie Vicencio, NP is a Nurse Practitioner in Crystal Lake, Illinois. Qualified in 2014, 12 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

525 E Congress Pkwy
Crystal Lake, IL 60014
Phone: (630) 962-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209012352 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209012352 (IL)

Record details

NPI number1356739452
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 26, 2014
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Crystal Lake