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

Dr. Jenna Janiga Lullo, MD

Individual provider Dermatology Physician · NPI 1376999821

Dr. Jenna Janiga Lullo, MD is a Dermatology in Maywood, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Illinois and Pennsylvania.

Years since qualifying
10
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036158809 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence MD473582 (PA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 036158809 (IL)

Record details

NPI number1376999821
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2016
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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