# ANDERSON TIERNAN PODIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Foot and Ankle Center of Orland Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538590013
- **Authorized official:** DR. BRECK M TIERNAN DPM (PRESIDENT)
- **Authorized official phone:** (815) 553-0990

## Contact information

- **Practice address:** 10751 W 143RD ST, ORLAND PARK, IL 60462-1900
- **Practice address phone:** (708) 460-8688
- **Practice address fax:** (708) 460-9272
- **Mailing address:** 10751 W 143RD ST, ORLAND PARK, IL 60462-1900
- **Mailing address phone:** (708) 460-8688
- **Mailing address fax:** (708) 460-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005321 | IL | Yes |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 12/09/2013