Mic

LBN: Metro Infectious Disease Consultants, Llc
Mic is an health care organization with primary practice located at 901 Mcclintock Dr Ste 202 , Burr Ridge IL 60527-0872. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Ambulatory Health Care Facilities / Infusion Therapy, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty. Metro Infectious Disease Consultants, Llc can be contacted via phone (888) 220-6432, or through Petrak, Russell M via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872
Phone: (888) 220-6432
Fax: (630) 734-4715
Website:
Map and Directions
Authorized official contact:
Name: Petrak, Russell M Doctor of Medicine (MD)
Phone: (888) 220-6432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1871202994
LBN Legal business name Metro Infectious Disease Consultants, Llc
DBA Doing business as Mic
Authorized official Petrak, Russell M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2022
Last updated Nov 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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