Organization
METRO INFUSION CENTER PLLC
Active
Organization
METRO INFUSION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL M PETRAK MD (MANAGING PARTNER)
(630) 655-7290
Entity
Organization
Contact information
Practice address
311 BULLARD PKWY STE A, TEMPLE TERRACE, FL 33617-5543
(877) 448-3627
(866) 507-1164
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-7290
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
10/31/2019
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