| Xheni Gjergo, | |
| 
					350 Houbolt Rd Ste 104, Joliet, IL 60431-8305  | |
| (815) 553-0990 | |
| Not Available | 
| Full Name | Xheni Gjergo | 
|---|---|
| Gender | Female | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 350 Houbolt Rd Ste 104, Joliet, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679140297 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.006059 (Illinois) | Primary | 
| Provider Name | Breck Tiernan Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1730354382 PECOS PAC ID: 6901961465 Enrollment ID: O20090217000181  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Xheni Gjergo, 350 Houbolt Rd Ste 104, Joliet, IL 60431-8305 Ph: (815) 553-0990  | Xheni Gjergo, 350 Houbolt Rd Ste 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  |