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LORIS A TISOCCO MD
NPI 1205896008
Dermatology in Calumet City, IL

Active since March 24, 2006PECOS Enrolled
19 RIVER OAKS DR, CALUMET CITY, IL 60409(708) 862-1290(708) 862-6447 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2020, Jan 30, 2019 (2 updates tracked since 2019).

About Loris A Tisocco Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORIS A TISOCCO MD (NPI 1205896008) is an individual dermatology provider in Calumet City, Illinois, licensed in Illinois (036054667) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205896008
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameLORIS A TISOCCOCredential: MD
Location Address19 RIVER OAKS DRCalumet City, IL 60409
Mailing Address580 E Boughton Rd, Ste ABolingbrook, IL 60440-2565 · (815) 744-8554 · Fax (630) 495-1770
Phone(708) 862-1290
Fax(708) 862-6447
Sole ProprietorYes
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
✔ NPI 1205896008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036054667
Definition
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.
19 RIVER OAKS DR, Calumet City, IL 60409
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Other Identifiers 1

Medicaid200015120AIL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loris A Tisocco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET BIEDRON A.P.N.
Nurse Practitioner
19 RIVER OAKS DR
CALUMET CITY, IL 60409
Cook County (708) 862-1290
INTEGRATED DERMATOLOGY OF CALUMET CITY LLC
Dermatology
19 RIVER OAKS DR
CALUMET CITY, IL 60409
Cook County (708) 862-1290
MS. JANICE L. KEANE A.N.P.
Nurse Practitioner
19 RIVER OAKS DR
CALUMET CITY, IL 60409
Cook County (708) 862-1290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loris Tisocco's NPI number?

The NPI number for Loris Tisocco is 1205896008. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Loris Tisocco located?

Loris Tisocco practices at 19 River Oaks Dr, Calumet City, IL 60409. The listed phone number is (708) 862-1290.

What is Loris Tisocco's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Loris Tisocco enrolled in Medicare?

Yes. Loris Tisocco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loris Tisocco was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.