| Breck Tiernan Pc | |
|
350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | |
| (815) 553-0990 | |
| (815) 553-0991 |
| Full Name | Breck Tiernan Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 350 Houbolt Rd, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730354382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005321 (Illinois) | Primary |
| Provider Name | Breck M Tiernan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861614380 PECOS PAC ID: 2860583523 Enrollment ID: I20070809000390 |
| Provider Name | Daniel Patrick Hare |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215464805 PECOS PAC ID: 6901175660 Enrollment ID: I20170712000957 |
| Provider Name | Zain Hasan Rizvi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285021980 PECOS PAC ID: 9234486192 Enrollment ID: I20180724000591 |
| Provider Name | Anna Yang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659754000 PECOS PAC ID: 8820348659 Enrollment ID: I20180829000655 |
| Provider Name | Xheni Gjergo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679140297 PECOS PAC ID: 5092252403 Enrollment ID: I20240802002651 |
| Mailing Address | Practice Location Address |
|---|---|
| Breck Tiernan Pc 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 Ph: (815) 553-0990 | Breck Tiernan Pc 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 Ph: (815) 553-0990 |
Dr. Andrew Vernon Wahl, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1960 Essington Rd, Suite 103, Joliet, IL 60435 Phone: 815-436-3555 | |
Essington Medical Group, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1026 Essington Rd, Joliet, IL 60435 Phone: 714-244-0101 | |
Dr. Ada Vera Paolucci, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1960 Essington Rd, Suite 103, Joliet, IL 60435 Phone: 815-436-3555 Fax: 815-436-3578 | |
Dr. Joe Mathew George, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1445 Essington Rd., Joliet, IL 60435 Phone: 815-741-6900 Fax: 815-741-6907 | |
Ross Taylor Groeschl, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 951 Essington Rd, Joliet, IL 60435 Phone: 815-744-4551 Fax: 815-744-4756 | |
Jaclyn M Schumann, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 Fax: 815-741-5518 | |
Dr. An D Le, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1026 Essington Rd, Joliet, IL 60435 Phone: 714-244-0101 |