| Metro Infectious Disease Consultants Llc | |
|
1300 Franklin Avenue Sutie 230c Normal IL 61761-3588 | |
| (888) 220-6432 | |
| Not Available |
| Full Name | Metro Infectious Disease Consultants Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1300 Franklin Avenue, Normal, Illinois |
| Authorized Official Name and Position | Tara Kowalski (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8882206432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Infectious Disease Consultants Llc 901 Mc Clintock Drive Suite 202 Burr Ridge IL 60527-0844 Ph: (888) 220-6432 | Metro Infectious Disease Consultants Llc 1300 Franklin Avenue Sutie 230c Normal IL 61761-3588 Ph: (888) 220-6432 |
| NPI Number | 1811154354 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811154354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 00009202 (Illinois) | Primary |
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