Individual
DENISE M JOHNSON-DECHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
834 NORTH SEMINARY STREET, SUITE 405, GALESBURG, IL 61401
(309) 344-9444
(309) 717-0124
Mailing address
765 N KELLOGG ST, SUITE 205, GALESBURG, IL 61401-2875
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036096365
IL
2084P0800X
Psychiatry Physician
Primary
036096365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096365
—
IL
Enumeration date
08/05/2006
Last updated
03/18/2024
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