Individual
ERMIAS TILAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5015 N PAULINA ST STE 101, CHICAGO, IL 60640-2756
(773) 907-3550
Mailing address
5015 N PAULINA ST STE 101, CHICAGO, IL 60640-2756
(773) 907-3550
(773) 907-3566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-094888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-094888-1
—
IL
Enumeration date
09/09/2005
Last updated
01/06/2021
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