| Doctor Name: | DR. JUSTIN EDWARD WITTKOPF |
| NPI Number: | 1043460850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036123362 |
| Business Practice Address: | 11 Salt Creek Ln Ste 101 Hinsdale, IL - 605212990 |
| Business Phone Number: | 6307893110 |
| Business Fax Number: | |
| Mailing Address: | 2441 Lake Shore Dr, Ste 101 WOODSTOCK |
| State: | IL |
| Postal Code: | 600986911 |
| Phone Number: | 8153384600 |
| Fax Number: | 8153384611 |
| NPI Enumeration Date: | 09/29/2008 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0901X |
| License Number: | 036123362 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otology & Neurotology |
| Taxonomy Definition: | An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |