Ermias Tilahun MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094888 Issued in IL

Legal business name

ERMIAS TILAHUN MD SC

Doing business as

TILAHUN & SIRINIAN MEDICAL GROUP

Practice address

5015 N Paulina St Ste 101
Chicago, IL 60640-2756

Phone

(773) 907-3550

Fax

(773) 907-3566

NPI assigned

Jun 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ermias Tilahun, M.D.NPI 1285628768

Title

President/Owner

Phone

(773) 907-3550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TILAHUN & SIRINIAN MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ermias Tilahun, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1285628768
  Medicare reassignment Care Compare group NPD Authorized official
• Erenee Sirinian, D.O.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1033309661
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1134166606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 ROYAL BIRKDALE DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614572",
            "telephone_number": "773-907-3550",
            "fax_number": "773-907-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-907-3550",
            "fax_number": "773-907-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERMIAS TILAHUN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "TILAHUN",
        "authorized_official_first_name": "ERMIAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-907-3550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "209748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TILAHUN & SIRINIAN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TILAHUN & SIRINIAN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Mark Erlich, M.D.
• Edward Erlikh, MD
• Erlinda B. Siwa M.D.,S.C.
• Erlinda B. Siwa M.D.; SC
• Amanda Erman, RN, APN
• Melanie Rose Ermler, MD
• Ernest I. Watanabe, O.D. LTD.
• Ernest Jercinovic D.D.S.
• Ernesto Cabrera MD
• Ernesto J. Villegas MD, SC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.