Individual
DR. MARK ALAN FRITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
(701) 503-3242
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01033298A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036063473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630255
BCBC
IL
05
—
100387880
—
IN
01
—
220018690
RR MEDICARE
IN
01
—
351173213
HFN
IN
01
—
3720784008
CIGNA
IN
01
—
82420
BCBS
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
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