NPI 1184610396
Metro Infectious Disease Consultants LLC
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
Home Infusion Agency
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.