Individual
MEGAN MARIE TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 LAWN AVE, WESTERN SPRINGS, IL 60558
(708) 277-5029
Mailing address
5001 LAWN AVE, WESTERN SPRINGS, IL 60558-1821
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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