Leroy    Harris    MD
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1174600100
Tax ID
363966745
Effective Date
1/13/2021
Last Updated
9/17/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
1102 Monroe Street Southwest
Huntsville, AL 35801
United States
Phone
256-469-7200 (Phone)
Billing Details
Address
1102 Monroe Street Southwest
Burr Ridge, IL 35801
Billing Phone
888-220-6432
Specialty Type
Infectious Diseases
Website
Visit Website
Map
Address