Search › Illinois › 363L00000X
Julie Vicencio, NP
NPI 1356739452 · on the registry since 2014
Practice
- Address
- 525 E Congress Pkwy
Crystal Lake, IL 60014 - Phone
- (630) 962-6280
- Organisation at this address
- Derick Dermatology, Pllc
Crystal Lake Immediate Care Physicians Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 486 Randall Rd Unit B, South Elgin, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois