| NPI | 1538590013 |
|---|---|
| Doing Business As | ADVANCED FOOT AND ANKLE CENTER OF ORLAND PARK |
| Entity Type | Organization |
| Authorized Contact | BRECK M TIERNAN President 815-553-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005321) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |