METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI# 1215184916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215184916 |
| Entity Type | Organization |
| Organization Name | METRO INFECTIOUS DISEASE CONSULTANTS, LLC |
| Other Organization Name | MIDC, LLC |
| Practice Address |
901 Mcclintock Drive Suite 202 Burr Ridge IL 60527-0844 |
| Practice Telephone | 8882206432 |
| Practice Fax Number | 6306544253 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6306544253 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | TARA KOWALSKI (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8882206432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | 054015148 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/ BLUE SHIELD | 1634065 | 01 |
| IL | MIDC PHARMACY DEA NUMBER | BM8662555 | 01 |
| Other Name | Type Code |
|---|---|
| MIDC, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242778 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 2340 E Meyer Blvd Ste 348, Kansas City, MO 64132-1129 | 2018-07-20 |
| 1427619386 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 4601 W 109th St Ste 100, Overland Park, KS 66211-1313 | 2019-06-21 |
| 1659702223 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-12-09 |
| 1073854600 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2013-03-06 |
| 1841530250 | Metro Infectious Disease Consultants, LLC | Home Infusion | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2013-02-21 |
| 1649510033 | Metro Infectious Disease Consultants, LLC | Pharmacy | 6704 Benjamin Rd, Suite 700, Tampa, FL 33634-4408 | 2013-02-21 |
| 1669797734 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 901 Mc Clintock Drive, Suite 202, Burr Ridge, IL 60527-0844 | 2010-04-01 |
| 1235125717 | Metro Infectious Disease Consultants, LLC | Clinic/Center | 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0844 | 2005-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | METRO INFECTIOUS DISEASE CONSULTANTS, LLC | 901 Mcclintock Drive, Burr Ridge, IL 60527 |
| Indiana Business Entities | METRO INFECTIOUS DISEASE CONSULTANTS, LLC | 901 Mcclintock Dr, Burr Ridge, IL 60527 |
| Street Address |
901 MCCLINTOCK DRIVE SUITE 202 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-0844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872041 | Rajat Prakash | Internal Medicine | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0844 | 2005-09-22 |
| 1336482462 | Innovative Physician Associates LLC | Health Maintenance Organization | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0844 | 2013-03-27 |
| 1558606053 | Allison Marie Petrak | Physician Assistant | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0872 | 2012-12-10 |
| 1215289137 | Brooke A Pierson | Physician Assistant | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0872 | 2012-10-03 |
| 1336450048 | Angela Gillespie | Physician Assistant | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0872 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246632 | Heartland Home Infusions, Inc | Home Infusion | 901 Mcclintock Dr, Suite 106, Burr Ridge, IL 60527-0844 | 2005-09-22 |
| 1184610396 | Metro Infectious Disease Consultants LLC | Home Infusion | 901 Mcclintock Dr, Suite 104, Burr Ridge, IL 60527-0844 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282889 | Option Care Enterprises, Inc. | Home Infusion | 1226 N Michael Dr Ste A, Wood Dale, IL 60191-1056 | 2020-10-12 |
| 1174130413 | Healthy Hearts & Wellness | Home Infusion | 14728 Martin Luther King Jr Dr, Dolton, IL 60419-2016 | 2020-09-30 |
| 1326688490 | Vitahealth Services LLC | Home Infusion | 121 N 2nd St Ste G, St Charles, IL 60174-1863 | 2020-01-07 |
| 1245753045 | Adorn Health, Inc. | Home Infusion | 190 S La Salle St Ste 2100, Chicago, IL 60603-3541 | 2017-07-24 |
| 1447791926 | Professional Infusion Consultants Corporation | Home Infusion | 1628 Windward Ave, Naperville, IL 60563-1896 | 2017-03-16 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1649616129 | Peko Healthcare and Consulting Services, Inc. | Home Infusion | 526 E 87th St, Chicago, IL 60619-6045 | 2013-05-10 |
| 1649594763 | Community Alliance Home Health | Home Infusion | 1 Merchants Plz, Suite 202, Oswego, IL 60543-9453 | 2010-03-18 |
| 1063653020 | South Suburban Healthcare, Inc | Home Infusion | 17055 Harlem Ave, Tinley Park, IL 60477-2739 | 2009-03-20 |
| 1447491519 | Home Life Healthcare,corp. | Home Infusion | 1020 W Golf Rd, Hoffman Estates, IL 60169-1340 | 2009-03-18 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
Please comment or provide details below to improve the information on METRO INFECTIOUS DISEASE CONSULTANTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.