Individual
ERIC TIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 S GREEN ST APT 506B, CHICAGO, IL 60607-3663
(312) 569-9082
(630) 274-6180
Mailing address
123 S GREEN ST APT 506B, CHICAGO, IL 60607-3663
(312) 569-9082
(630) 274-6180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125073252
IL
Other
Enumeration date
06/29/2018
Last updated
03/10/2026
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