| Tilahun & Sirinian Medical Group | |
|
5015 N Paulina St Ste 101 Chicago IL 60640-2756 | |
| (773) 907-3550 | |
| (773) 907-3566 |
| Full Name | Tilahun & Sirinian Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 5015 N Paulina St Ste 101, Chicago, Illinois |
| Authorized Official Name and Position | Ermias Tilahun (PRESIDENT/OWNER) |
| Authorized Official Contact | 7739073550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tilahun & Sirinian Medical Group 1937 Royal Birkdale Dr Vernon Hills IL 60061-4572 Ph: (773) 907-3550 | Tilahun & Sirinian Medical Group 5015 N Paulina St Ste 101 Chicago IL 60640-2756 Ph: (773) 907-3550 |
| NPI Number | 1134166606 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Medicare PECOS PAC ID | 7113994302 |
|---|---|
| Medicare Enrollment ID | O20040916000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134166606 | NPI | - | NPPES |
| 209748 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094888 (Illinois) | Primary |
| Provider Name | Ermias Tilahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285628768 PECOS PAC ID: 6507853918 Enrollment ID: I20040428000454 |
| Provider Name | Erenee Sirinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033309661 PECOS PAC ID: 6103974233 Enrollment ID: I20090429000625 |
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