Loris A Tisocco Md

LBN: Calumet Dermatology Assoc S C
Loris A Tisocco Md is an health care organization with primary practice located at 19 River Oaks Drive , Calumet City IL 60409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Calumet Dermatology Assoc S C can be contacted via phone (708) 862-1290, or through Garcia, Mary Y via phone (708) 862-1290.

Contact Information

Primary practice address
19 River Oaks Drive Calumet City IL 60409
Phone: (708) 862-1290
Fax: (708) 862-6447
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Mary Y
Phone: (708) 862-1290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1003915166
LBN Legal business name Calumet Dermatology Assoc S C
DBA Doing business as Loris A Tisocco Md
Authorized official Garcia, Mary Y
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated May 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003915166 NPPES
Indiana Other 000000239604 ANTHEM BCBS OF INDIANA

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