Wittkopf, Justin Edward

Wittkopf, Justin Edward is an individual health care provider with primary practice located at 925 N Milwaukee Ave Unit 200 , Vernon Hills IL 60061-1637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Wittkopf, Justin Edward can be contacted via phone (414) 771-6780.

Contact Information

Primary practice address
925 N Milwaukee Ave Unit 200 Vernon Hills IL 60061-1637
Phone: (414) 771-6780
Fax: (414) 238-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 036123362 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036-123362 Illinois

Profile Details

NPI number 1043460850
LBN Legal business name Wittkopf, Justin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Jul 20th, 2023 - about 2 years ago

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 1043460850 NPPES
Wisconsin MEDICAID 1275521288

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