Individual
DR. AARON WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036157692
IL
2085R0202X
Diagnostic Radiology Physician
34961
AZ
2085R0204X
Vascular & Interventional Radiology Physician
34961
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004736
—
AZ
01
—
1Z7086
HEALTH NET OF AZ
AZ
01
—
AZ0221810
BCBSAZ
AZ
Enumeration date
04/14/2006
Last updated
11/09/2023
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