Organization
MARK FRITZ MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J FRITZ MD (OWNER)
(815) 741-0666
Entity
Organization
Contact information
Practice address
212 N LARKIN AVE, JOLIET, IL 60435-6604
(815) 741-0666
(815) 741-0649
Mailing address
212 N LARKIN AVE, JOLIET, IL 60435-6604
(815) 741-0666
(815) 741-0649
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36099618
IL
207W00000X
Ophthalmology Physician
37999020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099618
—
IL
Enumeration date
10/27/2005
Last updated
06/24/2008
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