Provider Demographics
NPI:1982673190
Name:DUENSING, WILLIAM J (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:DUENSING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 N SEMINARY ST
Mailing Address - Street 2:STE 404
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-0500
Mailing Address - Country:US
Mailing Address - Phone:309-343-3444
Mailing Address - Fax:309-343-2526
Practice Address - Street 1:834 N SEMINARY ST
Practice Address - Street 2:STE 404
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-0500
Practice Address - Country:US
Practice Address - Phone:309-343-3444
Practice Address - Fax:309-343-2526
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013149208D00000X, 207Q00000X
IL0361175612083P0500X
IL036-117561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098856TCSMedicare ID - Type Unspecified
PAI50160Medicare UPIN