# METRO INFECTIOUS DISEASE CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811154354
- **Authorized official:** TARA KOWALSKI (CREDENTIALING MANAGER)
- **Authorized official phone:** (888) 220-6432

## Contact information

- **Practice address:** 1300 FRANKLIN AVENUE, SUTIE 230C, NORMAL, IL 61761-3588
- **Practice address phone:** (888) 220-6432
- **Mailing address:** 901 MC CLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0844
- **Mailing address phone:** (888) 220-6432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 00009202 | IL | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 12/13/2013