Search › Illinois › 363A00000X
Jordan Fruchey, PA-C
NPI 1558719773 · on the registry since 2016
Practice
- Address
- 675 N Saint Clair St Ste 19-100
Chicago, IL 60611 - Phone
- (312) 664-3278
- Fax
- (312) 695-5774
- Organisation at this address
- Sonia Settler
Mcgaw Medical Center
Northwestern Laser Vision, Llc
Northwestern Memorial Hospital
Northwestern-Rosin Eyecare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 692
Additional practice sites
- 251 E Huron St Ste 16-738, Chicago, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-23
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