Provider Demographics
NPI:1487949202
Name:FRITZ, KARL J (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:J
Last Name:FRITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22533 PRAIRIE XING
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7109
Mailing Address - Country:US
Mailing Address - Phone:312-608-6665
Mailing Address - Fax:
Practice Address - Street 1:22533 PRAIRIE XING
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7109
Practice Address - Country:US
Practice Address - Phone:312-608-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-046458207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology