Organization
ANDERSONTIERNAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRECK TIERNAN DPM (CO-PRESIDENT)
(815) 553-0990
Entity
Organization
Contact information
Practice address
455 S ROSELLE RD, SUITE 100, SCHAUMBURG, IL 60193-2971
(847) 985-8380
(847) 985-9475
Mailing address
350 HOUBOLT RD, SUITE 104, JOLIET, IL 60431-8305
(815) 553-0990
(815) 553-0991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005321
IL
Other
Enumeration date
06/24/2011
Last updated
10/04/2012
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