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Fritzgerald Charles

NPI 1174817548 · on the registry since 2011 · sole proprietor

Practice

Address
3623 173rd Ct Apt 5c
Lansing, IL 60438
Phone
(773) 801-8683

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois