Dr LORIS A TISOCCO MD is a male medical professional, specializing in Dermatology. He graduated in 1972.
INTEGRATED DERMATOLOGY OF CALUMET CITY, LLC
19 RIVER OAKS DR
CALUMET CITY
IL
604095802
Tel: 7088621290
| Npi | 1205896008 |
| Pac Id | 5496647042 |
| Professional Enrollment Id | I20040329000399 |
| Last Name | TISOCCO |
| First Name | LORIS |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF CALUMET CITY, LLC |
| Group Practice Pac Id | 8426365701 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 19 RIVER OAKS DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 604095802 |
| Phone Number | 7088621290 |
| Hospital Affiliation Ccn 1 | 150125 |
| Hospital Affiliation Lbn 1 | COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 140191 |
| Hospital Affiliation Lbn 2 | INGALLS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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