| NPI | 1003915166 |
|---|---|
| Doing Business As | LORIS A TISOCCO MD |
| Entity Type | Organization |
| Authorized Contact | MARY Y GARCIA Office Manager 708-862-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-05-09 |