Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN EDWARD WITTKOPF, M.D.
ActiveOtolaryngology · VERNON HILLS, IL
Registration Details
- NPI Number
- 1043460850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2008 (17.602300226969 yrs)
- Last Updated
- Jul 20, 2023
- Licenses
-
036123362 (IL)036-123362 (IL)
Practice Information
- Address
-
925 N MILWAUKEE AVE UNIT 200VERNON HILLS, IL, 600611637Browse IL providers · Browse ZIP 60061
- Phone
- 4147716780
- Fax
- 4142382424
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.