Johnson-Dechow, Denise M

Johnson-Dechow, Denise M is an individual health care provider with primary practice located at 834 North Seminary Street Suite 405, Galesburg IL 61401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Johnson-Dechow, Denise M can be contacted via phone (309) 344-9444.

Contact Information

Primary practice address
834 North Seminary Street Suite 405 Galesburg IL 61401
Phone: (309) 344-9444
Fax: (309) 717-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036096365 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036096365 Illinois

Profile Details

NPI number 1477562866
LBN Legal business name Johnson-Dechow, Denise M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477562866 NPPES
Illinois MEDICAID 036096365

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