Individual
THOMAS L MCKIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (300 N. YORK RD., ELMHURST, IL. 60126), MAYWOOD, IL 60153-3328
(708) 327-7030
(630) 833-8834
Mailing address
2160 S 1ST AVE, (300 N. YORK RD., ELMHURST, IL. 60126), MAYWOOD, IL 60153-3328
(708) 327-7030
(630) 833-8834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036053809
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036053809
IL
Other
Enumeration date
12/05/2006
Last updated
03/03/2016
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