Individual
DR. EVAN WITTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W NORTH AVE STE 209, CHICAGO, IL 60610-1042
(312) 280-0996
Mailing address
711 W NORTH AVE STE 209, CHICAGO, IL 60610-1042
(312) 280-0996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036155604
IL
Other
Enumeration date
03/21/2018
Last updated
08/04/2021
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