Individual
MARY FRITZ JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
219 E COLE AVE, WHEATON, IL 60187
(630) 690-7115
(630) 690-9037
Mailing address
923 BARCLAY CT, BATAVIA, IL 60510-3273
(630) 406-1131
(630) 389-0604
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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