Individual
DR. KAREN A DECOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
1 E OAKHILL DR STE 100, WESTMONT, IL 60559-5540
(574) 220-4676
(574) 406-7309
Mailing address
8000 WARREN WOODS RD LOT 68, THREE OAKS, MI 49128-9573
(574) 220-4676
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209013436
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.003915
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
290.013436
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5215366
—
MI
Enumeration date
06/18/2007
Last updated
03/07/2025
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