Julie L Vivanco, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209029725 Issued in IL

Practice address

2003 W Fulton St
Chicago, IL 60612-2345

Phone

(312) 243-2223

Fax

(312) 243-2227

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Julie Vivanco Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Chicago Home health agency, Alsip, IL, CCN 147182
• Loyola Medicine Home Care Home health agency, Oak Brook, IL, CCN 147257
• Medpro Health Providers Home health agency, Tinley Park, IL, CCN 148246
• First Venture Home Health Care, Inc Home health agency, Arlington Heights, IL, CCN 148264
• Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.vivanco.1@3342.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD @ Home Illinois, SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568758415
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• First Venture Home Healthcare, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1295967560
  Care Compare affiliation
• Health Resources Solutions Inc

  • Home Health Agency
  • Lombard, IL
  • NPI 1528094109
  Care Compare affiliation
• Medpro Health Providers LLC

  • Home Health Agency
  • Tinley Park, IL
  • NPI 1073820049
  Care Compare affiliation
• PSG Services, LLC

  • Home Health Agency
  • Alsip, IL
  • NPI 1598725103
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1003919101
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1659846301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-243-2223",
            "fax_number": "312-243-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-243-2223",
            "fax_number": "312-243-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVANCO",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "VIVANCO",
            "credential": "JACKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dolores Ann Vitullo, MD
• Marguerite C. Vitulski, APN-CNP
• Serena Viturawong, MD
• Viva Advanced Healthcare Illinois
• Viva Smile Dental PLLC
• Paulina Vivanco, COTA/L
• Vivant Counseling & Psychotherapy, PLLC
• Karina La'O Vivar, MD
• Victoria Diane Viveen, PA-C
• Vivek Gupta, M.D., S.C.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.