ANDERSONTIERNAN, INC (NPI# 1518210673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518210673 |
| Entity Type | Organization |
| Organization Name | ANDERSONTIERNAN, INC |
| Other Organization Name | ADVANCED FOOT & ANKLE CENTERS OF ILLINOIS |
| Practice Address |
350 Houbolt Rd Suite 104 Joliet IL 60431-8305 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8155530990 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | DR. BRECK M. TIERNAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8155530990 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDERSONTIERNAN, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Foot & Ankle Centers of Illinois | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720332455 | Andersontiernan, Inc | Non-Pharmacy Dispensing Site | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2012-11-02 |
| Street Address |
350 HOUBOLT RD SUITE 104 |
| City | JOLIET |
| State | IL |
| Zip Code | 60431-8305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965918 | Pediatric Adult Rehabilitation Associates | Specialist | 350 Houbolt Rd, Suite 101, Joliet, IL 60431-8305 | 2006-01-06 |
| 1043504657 | Amy Ray, Ph.d., P.C. | Psychologist | 350 Houbolt Rd, Suite 202, Joliet, IL 60431-8305 | 2011-06-01 |
| 1730354382 | Breck Tiernan PC | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2008-04-24 |
| 1083820930 | Laura Marie Bauer | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-05-15 |
| 1861614380 | Breck Michael Tiernan | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2007-05-03 |
| 1659495034 | Corinne Ann Puriski | Speech-Language Pathologist | 350 Houbolt Rd, Suite 101, Joliet, IL 60431-8305 | 2007-03-19 |
| 1700913845 | Lorelle Jean Pop | Occupational Therapist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-27 |
| 1104951854 | Phyllis Marie Mcsweeney | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-22 |
| 1023153764 | Diane Marie Barnes-maguire | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-20 |
| 1689718074 | Erin Marie Laskowski | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245513076 | J.e. Bertolini Md, S.c. | Non-Pharmacy Dispensing Site | 202 N Hammes Ave, Suite D, Joliet, IL 60435-8129 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.