LAKESIDE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1124730312
Dermatology in Gurnee, IL
About Lakeside Dermatology, A Forefront Dermatology Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE (NPI 1124730312) is a healthcare organization registered as a dermatology in Gurnee, Illinois and active in the NPI registry since December 2022. The organization holds 2 active CLIA laboratory certificates and lists Betsy J Wernli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Dermatology, A Forefront Dermatology Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Lakeside Dermatology, A Forefront Dermatology Practice, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 39Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 14D2090082
Lakeside Dermatology, A Forefront Derm Practice · Gurnee, ILCertificate for Provider-Performed Microscopy Procedures (PPMP) 14D2275641
Lakeside Dermatology, A Forefront Derm Practice Forefront Dermatology Practice · Libertyville, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Forefront Dermatology, S.C.'s NPI number?
The NPI number for Forefront Dermatology, S.C. is 1124730312. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is doing business as Lakeside Dermatology, A Forefront Dermatology Practice.
Where is Forefront Dermatology, S.C. located?
Forefront Dermatology, S.C. is located at 1425 N Hunt Club Rd Ste 202, Gurnee, IL 60031. The listed phone number is (847) 855-1730.
What is Forefront Dermatology, S.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Forefront Dermatology, S.C. enrolled in Medicare?
Yes. Forefront Dermatology, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forefront Dermatology, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 3 Medicare specialties reassign their Medicare billing to Forefront Dermatology, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (32), Nurse Practitioner (4) and Micrographic Dermatologic Surgery (MDS) (3). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Forefront Dermatology, S.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Forefront Dermatology, S.C. was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lakeside Dermatology, A Forefront Dermatology Practice · NPI 1124730312
Dermatology organization in Gurnee, Illinois. Organization record, active in the CMS NPPES registry since December 19, 2022.
## Identity
- **NPI:** 1124730312 (Entity type: Organization)
- **Enumerated:** December 19, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Forefront Dermatology, S.c.
- **Organization subpart:** No
- **Authorized official:** Betsy Wernli, PRESIDENT
## Practice location
- **Address:** 1425 N HUNT CLUB RD STE 202, Gurnee, IL 60031-2635
- **Phone:** (847) 855-1730 · **Fax:** (847) 855-1736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (32), Nurse Practitioner (4), Micrographic Dermatologic Surgery (MDS) (3); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1124730312/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124730312) · Data from the CMS NPPES public registry.