DR. JENNA JANIGA LULLO (M.D.) – Dermatology Physician, NPI 1376999821
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. JENNA JANIGA LULLO (M.D.)
AMITA Health Resurrection Medical Center, 7435, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
CHICAGO, IL 606313707
Phone:
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE # MC5067
CHICAGO, IL 606371443
Phone: (773) 702-1611
Fax: (773) 834-7071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210510000729 | I | Dermatology | PA | TBD |
| I20230808002229 | I | Dermatology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 37 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 29 | 19 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 26 | 23 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 60631)
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