Wittman, Randy S
Wittman, Randy S is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wittman, Randy S can be contacted via phone (630) 653-4240.Contact Information
Primary practice address
25 N Winfield Rd
Winfield IL 60190-1379
Phone: (630) 653-4240
Fax: (630) 315-6597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036-072670 | Illinois |
Profile Details
| NPI number | 1023165644 |
|---|---|
| LBN Legal business name | Wittman, Randy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Sep 3rd, 2020 - about 6 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 | 1023165644 | NPPES |
| Illinois | MEDICAID | 036072670 2 |
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