Organization
MCNIERNEY PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FRANCIS MCNIERNEY JR. DPM (OWNER)
(815) 600-9780
Entity
Organization
Contact information
Practice address
209 WOODBINE DR, ELWOOD, IL 60421-6029
(815) 600-9780
Mailing address
209 WOODBINE DR, ELWOOD, IL 60421-6029
(815) 600-9780
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004055
—
IL
01
—
P00333439
MEDICARE RAILROAD
IL
Enumeration date
09/25/2007
Last updated
02/20/2020
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