Organization · Type 2 NPI

Metro Infectious Disease Consultants LLC

Community/Retail Pharmacy · Burr Ridge, IL

NPI number 1184610396 Active

Practice location

901 Mcclintock Dr, Suite 104
Burr Ridge, IL 60527-0844

Fax (630) 528-9600

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency	251F00000X	054-015148 (IL)
Community/Retail Pharmacy Primary	3336C0003X	054015148 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

33 other providers at this address

Other community/retail pharmacy providers in Burr Ridge

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NPI record

NPI: 1184610396
Entity type: Organization (Type 2)
Issued: Sep 22, 2005
Last updated: Mar 7, 2023
Status: Active
Subpart: Yes of Metro Infectious Disease Consultants, LLC

Other names

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Midc Pharmacy · other name

Authorized official

Dr. Russell Martin Petrak, MD
Managing Partner
(630) 986-4580

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184610396

Metro Infectious Disease Consultants LLC's National Provider Identifier is 1184610396, issued on Sep 22, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Burr Ridge, IL. The record was last updated on Mar 7, 2023.