PREMIER DERMATOLOGY
NPI 1053783308
Dermatology in Crest Hill, IL

Q: What is Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1053783308. It was assigned to this organization in the NPPES registry on October 27, 2015. The provider is doing business as Premier Dermatology.

Q: What is Forefront Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since October 27, 2015

2051 PLAINFIELD RD, CREST HILL, IL 60403(815) 741-4343(815) 741-8660 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2018, Apr 26, 2018, Mar 20, 2018 (3 updates tracked since 2018).

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About Premier Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER DERMATOLOGY (NPI 1053783308) is a healthcare organization registered as a dermatology in Crest Hill, Illinois and active in the NPI registry since October 2015. The organization lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1053783308

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFOREFRONT DERMATOLOGY, S.C.

Location Address2051 PLAINFIELD RDCrest Hill, IL 60403

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(815) 741-4343

Fax(815) 741-8660

Organization SubpartNo

Authorized OfficialBetsy J WernliPresident · (920) 482-0671

Enumeration DateOctober 27, 2015

Last NPPES UpdateMay 16, 20183 updates tracked since enumeration

✔ NPI 1053783308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

2051 PLAINFIELD RD, Crest Hill, IL 60403

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Other Names 1

Doing Business AsPremier Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D0686707

Premier Dermatology Forefront Dermatology · Crest Hill, IL

Expired · Jul 31, 2026

CLIA Number14D0686707

Laboratory TypePhysician Office

Certificate Effective DateMay 20, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorSogyong Auh

Laboratory Phone(920) 663-9146

Laboratory LocationPremier Dermatology Forefront Dermatology2051 Plainfield Rd, Crest Hill, IL 60403

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE KAZANTSEV M.D.

Dermatology