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Individual

ERICK LEE TIEMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
400 E OHIO ST APT 702, CHICAGO, IL 60611-4602
(219) 313-8870

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.080404
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2022
Last updated
11/01/2022
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