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Individual

DR. MATTHEW CHARLES WITTHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
722 W MAXWELL ST STE 235, CHICAGO, IL 60607-5002
(312) 996-2901
Mailing address
1919 W TAYLOR ST RM 196, CHICAGO, IL 60612-7246
(312) 996-1103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036147354
IL

Other

Enumeration date
06/10/2013
Last updated
11/07/2018
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