ANDERSON TIERNAN PODIATRY PC NPI 1538590013

NPI Information

NPI: 1538590013
Provider Name: ANDERSON TIERNAN PODIATRY PC

Doing Business As: ADVANCED FOOT AND ANKLE CENTER OF ORLAND PARK

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10751 W 143RD ST
ORLAND PARK, IL
ZIP 60462
Phone: (708) 460-8688
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ANDERSON TIERNAN PODIATRY PC is a foot and ankle surgery podiatrist in Orland Park, IL. ANDERSON TIERNAN PODIATRY PC NPI is 1538590013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Foot And Ankle Center Of Orland Park.

The provider's business location address is:

10751 W 143RD ST
ORLAND PARK, IL
ZIP 60462-900
Phone: (708) 460-8688
Fax: (708) 460-9272

The provider's authorized official is Breck M Tiernan .
The authorized official title is President and has the following contact phone number (815) 553-0990.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005321	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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