NPI 1538939350

Shauna Wittke, RDH

Practitioner Dental Hygienist Great Lakes, IL

Practice location

Address: 3440 Ohio St, Great Lakes, IL 60088-3155
Phone: (847) 688-2100

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.16199 (IL)

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Registry record

NPI: 1538939350
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2024
Record last updated: 3 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.