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 (CREDENTIALING MANAGER)
(888) 220-6432
Entity
Organization
Contact information
Practice address
1300 FRANKLIN AVENUE, SUTIE 230C, NORMAL, IL 61761-3588
(888) 220-6432
Mailing address
901 MC CLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
00009202
IL
Other
Enumeration date
05/21/2008
Last updated
12/13/2013
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