Individual provider Active NPI

Justin E Wittkopf, MD

  • Otolaryngology Physician
  • Schaumburg, IL
National Provider Identifier
1043460850
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036123362 Issued in IL
Practice address
2060 E Algonquin Rd Ste 720
Schaumburg, IL 60173-4182
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Sep 29, 2008
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 324-320 WI
Otolaryngology Physician 207Y00000X 036123362 IL Primary

Addresses

Primary practice location

2060 E Algonquin Rd Ste 720
Schaumburg, IL 60173-4182

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

5804 Elaine Dr Ste 202
Rockford, IL 61108-2432
Phone (888) 938-3838

Other practice location 2

17859 80th Ave
Tinley Park, IL 60477-5023
Phone (888) 938-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090731000506 IL Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Other (Physician) 2264585603 Reassigns benefits to 1 organization
I20190710002916 WI Practitioner - Otolaryngology 2264585603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ear Nose and Throat Specialists PLLCGroup PAC ID 0143657197, 19 clinicians

Practice addresses (Care Compare)

925 N Milwaukee Ave
Unit 200
Vernon Hills, IL 60061-1637
Phone (888) 938-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-123362ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear Nose & Throat Specialists, PLLC Otolaryngology CurrentSince Dec 14, 2019 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Jul 15, 2019 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC Otolaryngology CurrentSince Jul 15, 2019 Accepting new patients
Affiliated Ear, Nose and Throat Physicians Otolaryngology Past Accepting new patients

Locations

111 W Jackson Blvd
Lbby 106
Chicago, IL 60604

1150 Essington Rd
Ste 101
Joliet, IL 60435
Phone (815) 823-8460

1739 Freedom Dr
Ste 101
Naperville, IL 60563
Phone (630) 799-0122

984 Willow Rd
Ste H
Northbrook, IL 60062

1125 South Blvd
Oak Park, IL 60302

5804 Elaine Dr
Ste 202
Rockford, IL 61108

2060 E Algonquin Rd
Ste 720
Schaumburg, IL 60173
Phone (847) 496-4693

17859 80th Ave
Tinley Park, IL 60477
Phone (708) 709-9600

925 N Milwaukee Ave
Unit 200
Vernon Hills, IL 60061

2654 S Oneida St
Stop 102
Green Bay, WI 54304

8500 75th St
Ste 101
Kenosha, WI 53142
Phone (262) 653-2260

10610 N Port Washington Rd
Mequon, WI 53092
Phone (262) 923-7879

500 W Drexel Ave
Ste 300
Oak Creek, WI 53154

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

2885 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 615-7048

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1043460850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E ALGONQUIN RD STE 720",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734182",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5804 Elaine Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082432",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17859 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604775023",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTKOPF",
        "first_name": "JUSTIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "324-320",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036123362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.