Individual
JONATHAN P LITWILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036116568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000562974
ANTHEM
IN
05
—
200901330
—
IN
Enumeration date
05/02/2008
Last updated
09/21/2016
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