Dr Russell M Petrak, MD | |
901 Mcclintock Dr, Suite 201, Burr Ridge, IL 60527-0872 | |
(888) 220-6432 | |
(630) 654-4253 |
Full Name | Dr Russell M Petrak |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 44 Years |
Location | 901 Mcclintock Dr, Burr Ridge, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376539692 | NPI | - | NPPES |
200856780 | Medicaid | IN | |
036-063-551 | Medicaid | IL | |
Z158638 | Other | AZ | MEDICARE PIN |
0420281 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 036-063551 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Metro Infectious Disease Consultants Llc | 3072425784 | 318 |
Entity Name | Metro Infectious Disease Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20070323000403 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell M Petrak, MD 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0872 Ph: (888) 220-6432 | Dr Russell M Petrak, MD 901 Mcclintock Dr, Suite 201, Burr Ridge, IL 60527-0872 Ph: (888) 220-6432 |
Chad T Whelan, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Dr. Vyjayanthi Atluri, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6101 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-686-9000 | |
Alan R Leff, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Jayant Malhotra, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 25 Rodeo Dr, Burr Ridge, IL 60527 Phone: 630-789-6618 | |
Edgar Davila, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 124 79th St, Burr Ridge, IL 60527 Phone: 773-641-2037 | |
William Stoecker, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 901 Mcclintock Dr Ste 202, Burr Ridge, IL 60527 Phone: 888-220-6432 | |
Sarah H Glavin, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 |