Organization
BRECK TIERNAN PC
Active
Other names
Advanced Foot and Ankle Center of Joliet
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRECK MICHAEL TIERNAN DPM (OWNER)
(815) 553-0990
Entity
Organization
Contact information
Practice address
350 HOUBOLT RD, SUITE 104, JOLIET, IL 60431-8305
(815) 553-0990
(815) 553-0991
Mailing address
350 HOUBOLT RD, SUITE 104, JOLIET, IL 60431-8305
(815) 553-0990
(815) 553-0991
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005321
IL
Other
Enumeration date
04/24/2008
Last updated
10/16/2023
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