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

Mr. Daniel P Vicencio, MD

Individual provider Internal Medicine Physician · NPI 1174508246

Mr. Daniel P Vicencio, MD is an Internal Medicine in Chicago, Illinois. Graduated from Northwestern University Feinberg Medical School in 1992, 34 years ago. Practices with Near North Health Service Corporation, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
34
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 S Michigan Ave B-390
Chicago, IL 60616-2333
Phone: (312) 567-6691
Fax: (312) 328-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1276 N Clybourn Ave, Chicago, IL 60610-2089 — (312) 337-1073

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036088743 (IL)

Record details

NPI number1174508246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 13, 2005
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Group practice Near North Health Service Corporation — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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