| Julie Vicencio, NP | |
|
525 E Congress Pkwy, Crystal Lake, IL 60014 | |
| (630) 962-6280 | |
| Not Available |
| Full Name | Julie Vicencio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 525 E Congress Pkwy, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356739452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209012352 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209012352 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Lake Immediate Care Physicians Ltd. | 2961783139 | 17 |
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Physicians Immediate Care Ltd. | 4486568813 | 48 |
| Physicians Immediate Care North Chicago Llc | 8729064159 | 203 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Tri-county Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700810470 PECOS PAC ID: 2567412240 Enrollment ID: O20050131000438 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Lake County Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285048975 PECOS PAC ID: 6204158280 Enrollment ID: O20141202000857 |
| Entity Name | Crystal Lake Immediate Care Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517198 PECOS PAC ID: 2961783139 Enrollment ID: O20161229001875 |
| Entity Name | Wellnow Urgent Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Vicencio, NP 3538 Hopewell Pl, Elgin, IL 60124-5705 Ph: (630) 962-6280 | Julie Vicencio, NP 525 E Congress Pkwy, Crystal Lake, IL 60014 Ph: (630) 962-6280 |
Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044 | |
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160 | |
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211 | |
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922 | |
Angelica Soto, MSN,APRN,PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999 | |
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227 | |
Sheila Roxanne Soriano Reyes, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 500 Coventry Ln Ste 290, Crystal Lake, IL 60014 Phone: 708-434-4090 |