Individual
LORIS A TISOCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 RIVER OAKS DR, CALUMET CITY, IL 60409
(708) 862-1290
(708) 862-6447
Mailing address
580 E BOUGHTON RD, STE A, BOLINGBROOK, IL 60440-2565
(815) 744-8554
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036054667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015120A
—
IL
Enumeration date
03/24/2006
Last updated
01/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us