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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043460850 | NPPES |
| Wisconsin | MEDICAID | 1275521288 |
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