JULIE L VIVANCO

CHICAGO, IL
NPI1659846301
Former NameJULIE VIVANCO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: IL  041256815)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
JULIE L VIVANCO FNP-BC
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-288-1113
Mailing Address
JULIE L VIVANCO FNP-BC
7118 35TH ST
BERWYN, IL 60402-3216
Phone number: 312-288-1113