Organization
ERMIAS TILAHUN MD SC
Active
Organization
ERMIAS TILAHUN MD SC
Active
Other names
TILAHUN & SIRINIAN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ERMIAS TILAHUN M.D. (PRESIDENT/OWNER)
(773) 907-3550
Entity
Organization
Contact information
Practice address
5015 N PAULINA ST STE 101, CHICAGO, IL 60640-2756
(773) 907-3550
(773) 907-3566
Mailing address
1937 ROYAL BIRKDALE DR, VERNON HILLS, IL 60061-4572
(773) 907-3550
(773) 907-3566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209748
PTAN
IL
Enumeration date
06/01/2006
Last updated
01/06/2021
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