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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRECK MICHAEL TIERNAN, DPM

Active Sole Proprietor

DR. BRECK MICHAEL TIERNAN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in JOLIET, Illinois. NPI 1861614380 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · JOLIET, IL

Registration Details

NPI Number
1861614380
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.325122791289 yrs)
Last Updated
Oct 16, 2023
License
16005321 (IL)
Sole Proprietor
Yes

Practice Information

Address
350 HOUBOLT RD
SUITE 104
JOLIET, IL, 604318305
Browse IL providers · Browse ZIP 60431
Phone
8155530990
Fax
8155530991
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in JOLIET, IL

Name Credential NPI
STEVEN BRADLEY OVERPECK DPM 1518971639
DR. ROBERT KENNETH MACNAB D.P.M. 1669481180
DR. DARYL SCOTT CANEVA DPM 1922107838
DR. JOE MATHEW GEORGE DPM 1114068202
DR. AN D LE DPM 1215377841
DR. AMANDA KATHERINE HARWOOD DPM 1558775031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.