Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calumet Dermatology Assoc S C

Organization Dermatology Physician · NPI 1003915166

Calumet Dermatology Assoc S C is a Dermatology Physician in Calumet City, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

19 River Oaks Dr
Calumet City, IL 60409
Phone: (708) 862-1290
Fax: (708) 862-6447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1003915166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Garcia — Office Manager · (708) 862-1290
Other names Loris A Tisocco Md
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMay 9, 2012
Mailing address19 River Oaks Drive, Calumet City, IL 60409

Other providers in Calumet City