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Contact Information

MARK J FRITZ, MD
212 N LARKIN AVE
JOLIET, IL60435-6604
 Phone: 815-741-0666
 Fax: 815-741-0649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARK J FRITZ · (Male)

NPI # 1669509550
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2007
Last updated 06/24/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036099618
  • IL Medicaid 036099618
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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