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Organization
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Active
Organization
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KOWALSKI (HR/CREDENTIALING MANAGER)
(888) 220-6432
Entity
Organization
Contact information
Practice address
1102 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 469-7200
(256) 496-7201
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/13/2013
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