DR. LORELEI ELIZABETH DITOMMASO


Address: 1801 W Taylor St, Suite 3e, Chicago, IL 60612-4795
Phone: 3129968666

DR. LORELEI ELIZABETH DITOMMASO (NPI# 1245617208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245617208
Entity Type Individual
Full Name DR. LORELEI ELIZABETH DITOMMASO
Credential M.D., M.P.H.
Practice Address 1801 W Taylor St
Suite 3e
Chicago
IL 60612-4795
Mailing Address 808 S Wood St
University of Illinois At Chicago Dermatology M/c 624
Chicago
IL 60612-7300
Practice Telephone 3129968666
Mailing Telephone 3124137767
Enumeration Date 2015-04-29
Last Update Date 2016-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 125067152 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1801 W TAYLOR ST
SUITE 3E
City CHICAGO
State IL
Zip Code 60612-4795

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992790828 Julia Corcoran Surgery 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 2005-09-16
1659986982 Rebekah Nailor-zee Genetic Counselor, MS 1801 W Taylor St, Chicago, IL 60612-4795 2020-09-14
1245856442 Tara Kristen Maga Genetic Counselor, MS 1801 W Taylor St, Chicago, IL 60612-4795 2020-06-23
1427678606 Lauren Grieco Physical Therapist 1801 W Taylor St, Chicago, IL 60612-4795 2020-04-17
1255993887 Katherine Josephine Cobian Genetic Counselor, MS 1801 W Taylor St, Chicago, IL 60612-4795 2019-07-03
1689130494 Anna Titcomb Dietitian, Registered 1801 W Taylor St, Chicago, IL 60612-4795 2019-02-17
1740757012 Jessica Spitelli Nurse Practitioner 1801 W Taylor St, Chicago, IL 60612-4795 2018-10-25
1255807400 Alexus Ann Bushee Physician Assistant 1801 W Taylor St, Chicago, IL 60612-4795 2018-10-15
1114417995 Madelyn Katz Genetic Counselor, MS 1801 W Taylor St, Chicago, IL 60612-4795 2018-05-16
1013413301 Diana Lorena Bejarano Pineda Student in an Organized Health Care Education/Training Program 1801 W Taylor St, Chicago, IL 60612-4795 2018-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114551983 Katherine Janezic Dermatology 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 2020-03-02
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1891257853 Maria Estela Martinez Escala Dermatology 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 2019-04-01
1275013450 Advanced Dermatology and Aesthetic Medicine Dermatology 850 S Wabash Ave Ste 200, Chicago, IL 60605-3642 2018-08-17
1346784543 Dermio, LLC Dermatology 3023 N Clark St, Suite 861, Chicago, IL 60657-5200 2016-12-07
1366823544 Oyinade Aderibigbe Dermatology 111 W Washington St Ste 1801, Chicago, IL 60602-3430 2015-06-14
1073909032 Julia Dai Dermatology 5758 S Maryland Ave Fl 3, Chicago, IL 60637 2015-04-07
1437544582 Nicholas Blickenstaff Dermatology 30 N Michigan Ave Ste 1429, Chicago, IL 60602-3698 2015-04-04
1801285929 Medical Dermatology Associates of Chicago, Ltd Dermatology 363 W Erie St, Suite 350, Chicago, IL 60654-6903 2015-01-13
1366857286 Noor Tazudeen Dermatology 4700 N Marine Dr Ste 220, Chicago, IL 60640-7972 2014-06-30
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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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