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

Loris A Tisocco, MD

Individual provider Dermatology Physician · NPI 1205896008

Loris A Tisocco, MD is a Dermatology Physician in Calumet City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

19 River Oaks Dr
Calumet City, IL 60409
Phone: (708) 862-1290
Fax: (708) 862-6447
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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 036054667 (IL)

Record details

NPI number1205896008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address580 E Boughton Rd, Ste A, Bolingbrook, IL 60440-2565

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