Organization
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Active
Organization
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Active
Other names
MIDC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KOWALSKI (CREDENTIALING MANAGER)
(888) 220-6432
Entity
Organization
Contact information
Practice address
901 MCCLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
(630) 654-4253
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
251F00000X
Home Infusion Agency
Primary
054015148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634065
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
08/25/2008
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up