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Organization
METRO PRIMARY CARE ASSOCIATES LLC
Active
Organization
METRO PRIMARY CARE ASSOCIATES LLC
Active
Other names
Metro Infectious Disease Consultants LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ROCK (DIRECTOR OF CLINICAL OPERATIONS)
(708) 972-7636
Entity
Organization
Contact information
Practice address
13755 S. CICERO AVE, CRESTWOOD, IL 60445-1824
(708) 972-7642
(708) 925-9179
Mailing address
901 MCCLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F100106060
MEDICARE PTAN
IL
Enumeration date
10/02/2013
Last updated
12/17/2021
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