Individual
DR. LORELEI ELIZABETH DITOMMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1801 W TAYLOR ST, SUITE 3E, CHICAGO, IL 60612-4795
(312) 996-8666
Mailing address
808 S WOOD ST, UNIVERSITY OF ILLINOIS AT CHICAGO DERMATOLOGY M/C 624, CHICAGO, IL 60612-7300
(312) 413-7767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125067152
IL
Other
Enumeration date
04/29/2015
Last updated
06/24/2016
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