Individual
KENNY L FRITZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2625 ELISHA AVE, ZION, IL 60099-2607
(847) 746-1223
Mailing address
808 E ROCKLAND RD, LIBERTYVILLE, IL 60048-3358
(414) 841-7837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011424
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2020
Last updated
07/01/2021
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