Individual
BERNARD WITTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6370
Mailing address
1301 W 22ND ST, SUITE 610, OAK BROOK, IL 60523-2006
(630) 537-1720
(630) 537-1724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036079949
IL
207L00000X
Anesthesiology Physician
2011030637
MO
Other
Enumeration date
09/13/2006
Last updated
07/14/2013
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