JULIE VICENCIO (NPI# 1356739452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356739452 |
| Entity Type | Individual |
| Full Name | JULIE VICENCIO |
| Practice Address |
9977 Woods Dr Skokie IL 60077-1057 |
| Practice Telephone | 2243642273 |
| Mailing Telephone | 2243642273 |
| Mailing Fax Number | 8476638290 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209012352 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012352 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Highland Ave, Aurora, IL 605063814 | 6309626280 |
| Street Address |
9977 WOODS DR |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891987 | Michael Perry Rosenbaum | Pediatrics | 9977 Woods Dr, Skokie, IL 60077-1057 | 2005-12-13 |
| 1255938726 | Laura June Prestidge | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-10-07 |
| 1376150722 | Alaminah Said | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-09-29 |
| 1922618313 | Heather R Siddons | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-07-31 |
| 1366071797 | Kelly Hundman | Registered Nurse | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-04-07 |
| 1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
| 1699310979 | Rachel Sarmiento | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-11-11 |
| 1447801998 | Giselle Martinez-o'connor | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-26 |
| 1376193904 | Eva Schwartz | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-09-16 |
| 1174173009 | Ross Thaler Compton | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048462 | Elizabeth Faustmann | Nurse Practitioner | 9669 Kenton Ave Ste 608, Skokie, IL 60076-1248 | 2019-11-20 |
| 1336792738 | Karla Guiab | Nurse Practitioner | 8042 Kenton Ave Apt 2, Skokie, IL 60076-3180 | 2019-07-24 |
| 1194190975 | Olga V Yohalem | Nurse Practitioner | 9150 Granford Ave L & Y Group S.c., Suite 107, Skokie, IL 60076-1769 | 2015-12-05 |
| 1225456924 | Aj Care Inc | Nurse Practitioner | 8129 Hamlin Ave, Skokie, IL 60076-3308 | 2014-04-01 |
| 1366676090 | Brian Joel Weinstein | Nurse Practitioner | 8019 Ridgeway Ave, Skokie, IL 60076-3408 | 2009-05-10 |
| 1689881450 | Physicians of The North Shore | Nurse Practitioner | 9555 Gross Point Road, Skokie, IL 60077 | 2007-05-17 |
| 1255938726 | Laura June Prestidge | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-10-07 |
| 1922618313 | Heather R Siddons | Nurse Practitioner | 9977 Woods Dr, Skokie, IL 60077-1057 | 2020-07-31 |
| 1497380547 | Lisa Curtis | Nurse Practitioner | 9977 Woods Dr Ste 100, Skokie, IL 60077-1057 | 2020-03-10 |
| 1508499047 | Sarah Kleinman | Nurse Practitioner | 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | 2020-02-12 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.