Tierney, Sean P
Tierney, Sean P is an individual health care provider with primary practice located at 11560 S Kedzie Ave Ste 100 , Merrionette Park IL 60803-4517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Tierney, Sean P can be contacted via phone (708) 824-1114.Contact Information
Primary practice address
11560 S Kedzie Ave Ste 100
Merrionette Park IL 60803-4517
Phone: (708) 824-1114
Fax: (708) 824-9341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036096266 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036096266 | Illinois |
Profile Details
| NPI number | 1457315624 |
|---|---|
| LBN Legal business name | Tierney, Sean P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457315624 | NPPES |
| Illinois | Other | 01621208 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 416810 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00110155 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | CD8033 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 1508810086 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 236550 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 236551 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00227172 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036096266 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | CN2703 | BLUE CROSS BLUE SHIELD |
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