LAKESIDE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1124730312
Dermatology in Gurnee, IL

Active since December 19, 2022CLIA Certified · 2 labs
1425 N HUNT CLUB RD STE 202, GURNEE, IL 60031(847) 855-1730(847) 855-1736 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2023, Dec 19, 2022 (2 updates tracked since 2022).

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

NPI1124730312
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1425 N HUNT CLUB RD STE 202Gurnee, IL 60031-2635
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(847) 855-1736
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateDecember 19, 2022
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1124730312 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
1425 N HUNT CLUB RD STE 202, Gurnee, IL 60031

Other Names 1

Doing Business AsLakeside Dermatology, A Forefront Dermatology Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, IL
Active · expires Mar 13, 2027
CLIA Number14D2090082
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorMartha Arroyo
Laboratory Phone(847) 855-1730
Laboratory LocationLakeside Dermatology, A Forefront Derm Practice1425 N Hunt Club Rd, Ste 202, Gurnee, IL 60031
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2275641

Lakeside Dermatology, A Forefront Derm Practice Forefront Dermatology Practice · Libertyville, IL
Active · expires Jan 24, 2027
CLIA Number14D2275641
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorMartha P. Arroyo
Laboratory Phone(920) 663-9008
Laboratory LocationLakeside Dermatology, A Forefront Derm Practice Forefront Dermatology Practice1240 N Milwaukee Ave - Ste B, Libertyville, IL 60048
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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.

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 with the weekly NPPES data releases published by CMS.