MIC
NPI 1871202994
Internal Medicine - Infectious Disease in Burr Ridge, IL

NPI Status: Active since November 17, 2022

Contact Information

901 MCCLINTOCK DR STE 202
BURR RIDGE, IL
ZIP 60527
Phone: (888) 220-6432
Fax: (630) 734-4715

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  • Organization
  • Internal Medicine
  • Infectious Disease

About MIC

This page provides the complete NPI Profile along with additional information for Mic, an internist established in Burr Ridge, Illinois operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1871202994 assigned on November 2022. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mic. The authorized official of this NPI record is Russell M Petrak Md (Managing Partner)

NPI
1871202994
Provider Legal Name
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Other Organization Name
MIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
901 MCCLINTOCK DR STE 202 BURR RIDGE, IL 60527
Location Phone
(888) 220-6432
Location Fax
(630) 734-4715
Mailing Address
901 MCCLINTOCK DR STE 202 BURR RIDGE, IL 60527
Mailing Phone
(888) 220-6432
Mailing Fax
(630) 734-4715
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2022
Last Update Date
11-17-2022
Code Navigator

An internist like Mic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QI0500XAmbulatory Health Care Facilities

Clinic/Center
Infusion Therapy

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL M PETRAK MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(888) 220-6432

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871202994, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 4 + 0 + 4 + 9 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1871202994.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Nurse Practitioner (Family)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Nurse Practitioner (Pediatrics)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527
Psychiatry & Neurology (Neurology)
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871202994, enumerated as an "organization" on November 17, 2022.

The provider is located at 901 MCCLINTOCK DR STE 202 BURR RIDGE, IL 60527 and the phone number is (888) 220-6432.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.