NPI 1538590013 · live from the CMS NPI Registry
Anderson Tiernan Podiatry PC
Podiatrist, Foot & Ankle Surgery in Orland Park, IL. National Provider Identifier 1538590013, active.
NPI record
| NPI | 1538590013 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 10751 W 143rd St, Orland Park, IL 60462 |
| Practice phone | 708-460-8688 |
| Enumerated | December 9, 2013 |
| Last updated | December 9, 2013 |
| Authorized official | Breck Tiernan, President |
| Other names | Advanced Foot And Ankle Center Of Orland Park |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016005321 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.