Jonathan Nitz, M.D.

NPI #1548611924 in Peoria, Illinois

Provider Information

NPI Number: 1548611924
Entity Type: Individual
Name: Jonathan Nitz, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: 624 NE GLEN OAK AVE
Address 2: ROOM 2670
City: Peoria
State: Illinois
ZIP Code: 61603-3135
Phone: (309) 655-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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