Dr. Justin Edward Wittkopf
Otolaryngologist (ENT Doctor)
925 N Milwaukee Ave Unit 200
Vernon Hills
, Illinois 60061-1637
Dr. Justin Edward Wittkopf
Otolaryngologist (ENT Doctor)
925 N Milwaukee Ave Unit 200
Vernon Hills
, Illinois 60061-1637
(414) 238-2424
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Justin Edward Wittkopf
- 10001 W Innovation Dr Ste 200
- Wauwatosa, WI
- Zip : 53226-4851
- Fax : (414) 238-2424
- Phone : (414) 771-6780
Second Address
- Dr. Justin Edward Wittkopf
- 925 N Milwaukee Ave Unit 200
- Vernon Hills, IL
- Zip : 60061-1637
- Fax : (414) 238-2424
- Phone : (414) 771-6780
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036-123362 | IL |
National Provider Identifier
| NPI | 1043460850 |
|---|---|
| Provider Name | Dr. Justin Edward Wittkopf |
| First Address | Wauwatosa, WI 53226-4851 |
| Second Address | Vernon Hills, IL 60061-1637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2008 |
| Last Update Date | 06/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1275521288 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.