DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JUSTIN EDWARD WITTKOPF M.D.

MEDICARE: DR. JUSTIN EDWARD WITTKOPF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0901XOtology & Neurotology Physician036123362IL
2207Y00000XOtolaryngology Physician036-123362IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043460850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN EDWARD WITTKOPF M.D.
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-4851
Country : US
Telephone Number : 414-771-6780
Fax Number : 414-238-2424
Provider Business Practice Location Address
First Line : 925 N MILWAUKEE AVE UNIT 200
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1637
Country : US
Telephone Number : 414-771-6780
Fax Number : 414-238-2424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 07/20/2023

Similar Medicare Providers

1134648389 — RYAN MIGUEL COLON PA-C
Practice Location Address:
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL
60061-1637
Practice Phone: 888-938-3838
Practice Fax: 888-919-1083
1184281735 — ADVANCED EAR NOSE & THROAT SPECIALISTS, PLLC
Practice Location Address:
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL
60061-1637
Practice Phone: 888-938-3838
Practice Fax: 888-919-1083
1770119851 — RINA PATEL
Practice Location Address:
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL
60061-1637
Practice Phone: 414-771-6780
Practice Fax: 414-238-2424
1003511049 — ARPITA PATEL PA-C
Practice Location Address:
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL
60061-1637
Practice Phone: 888-938-3838
Practice Fax:
1881420966 — VIRGINIA M BUTSIC APNP
Practice Location Address:
925 N MILWAUKEE AVE UNIT 200
VERNON HILLS, IL
60061-1637
Practice Phone: 888-938-3838
Practice Fax:
1366268955 — VALERIA ROMANOVA
Practice Location Address:
925 N MILWAUKEE AVE UNIT 300
VERNON HILLS, IL
60061-1637
Practice Phone: 224-632-1859
Practice Fax:

Directions to “ DR. JUSTIN EDWARD WITTKOPF M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.