Individual
JAMES ALBERT WITTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
103 E JACKSON ST, PINCKNEYVILLE, IL 62274-1141
(618) 357-5012
(618) 357-9034
Mailing address
103 E JACKSON ST, PINCKNEYVILLE, IL 62274-1141
(618) 357-5012
(618) 357-9034
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038-007782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007782
—
IL
Enumeration date
08/31/2006
Last updated
05/20/2008
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