Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erick Lee Tiemens

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376286344

Erick Lee Tiemens is an Emergency Medicine in Olympia Fields, Illinois. Qualified in 2022, 4 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

20201 Crawford Ave Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010
Phone: (708) 747-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.080404 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376286344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address400 E Ohio St Apt 702, Chicago, IL 60611-4602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Olympia Fields