OrganizationActive
Andersontiernan, Inc
NPI 1720332455 · Non-Pharmacy Dispensing Site · Schaumburg, IL
Provider details
- NPI number
- 1720332455
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Andersontiernan, Inc
- Organization subpart
- Yes
- Authorized official
- Dana Wisby, Medical Director(847) 985-8380
Specialties & taxonomies
Suppliers
Practice location
455 S Roselle Rd
Suite 100
Schaumburg, IL 60193-2971
Phone: (847) 985-8380
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Doing business as
- Advanced Foot & Ankle Centers of Illinois
Registry dates
- Enumerated
- 2012-11-02
- Last updated
- 2012-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.