NPI 1992091219 · live from the CMS NPI Registry
Andersontiernan INC
Podiatrist in Schaumburg, IL. National Provider Identifier 1992091219, active.
NPI record
| NPI | 1992091219 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193 |
| Practice phone | 847-985-8380 |
| Mailing address | 350 Houbolt Rd, Suite 104, Joliet, IL 60431 |
| Enumerated | June 24, 2011 |
| Last updated | October 4, 2012 |
| Authorized official | Breck Tiernan, Co-President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016005321 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.