BRECK TIERNAN PC
Medical Practice at Houbolt Rd, Joliet, IL

License number
Illinois 016005321
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. BRECK MICHAEL TIERNAN DPM
Title: OWNER
Phone: (815) 553-0990
Address
Address
350 Houbolt Rd SUITE 104, Joliet, IL 60431
National Provider ID: 1730354382
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRECK TIERNAN, PC

Joliet, IL 60432

Registration:
Sep 6, 2007
State ID:
65681862
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Lincoln Document Research Inc,1821 Walden Office Sq STE 400, Schaumburg, IL 60173 (Physical)

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