Provider Demographics
NPI:1235224312
Name:WOJCIECHOWSKI, DENISE H (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:H
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3348 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2236
Mailing Address - Country:US
Mailing Address - Phone:708-424-4353
Mailing Address - Fax:
Practice Address - Street 1:3348 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2236
Practice Address - Country:US
Practice Address - Phone:708-424-4353
Practice Address - Fax:708-424-4396
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL383468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001682373OtherBCBS
0001682373OtherBCBS