Whalio Doctors

NPI 1184610396

Metro Infectious Disease Consultants LLC

Organisation Community/Retail Pharmacy Burr Ridge, IL

Practice location

Address
901 McClintock Dr Suite 104, Burr Ridge, IL 60527-0844
Phone
(630) 986-4580
Fax
(630) 528-9600
Mailing address
901 McClintock Dr STE 104, Burr Ridge, IL 60527-0844

Authorised official

Name
Russell Martin Petrak
Title
Managing Partner
Phone
(630) 986-4580

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 054015148 (IL)
Home Infusion Agency
Agencies Taxonomy 251F00000X Licence 054-015148 (IL)

Registry record

NPI
1184610396
Entity type
Organization
NPI issued
22 Sep 2005
Record last updated
7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.