LORIS A TISOCCO MD – NPI #1003915166
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

LORIS A TISOCCO MD is a dermatologist located in CALUMET CITY, IL. NPPES has assigned the NPI number 1003915166 to LORIS A TISOCCO MD on September 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LORIS A TISOCCO MD” is a dba name, the actual legal business name for this organization is CALUMET DERMATOLOGY ASSOC S C. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 14 years ago on May 09, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LORIS A TISOCCO MD below.

NPI Profile for
CALUMET DERMATOLOGY ASSOC S C

NPI Number
1003915166
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALUMET DERMATOLOGY ASSOC S C
Doing Business As (dba): LORIS A TISOCCO MD
Primary location
19 RIVER OAKS DRIVE
CALUMET CITY, IL 60409
Phone: (708) 862-1290 Fax: (708) 862-6447
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY GARCIA
OFFICE MANAGER
Phone: (708) 862-1290
Updated
Identifiers

Identifiers for LORIS A TISOCCO MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BCBS OF INDIANAIN000000239604
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.