PREMIER DERMATOLOGY
NPI 1154793412
Dermatology in New Lenox, IL

Active since October 27, 2015CLIA 14D2042214 · Microscopy
1890 SILVER CROSS BLVD, SUITE 505, NEW LENOX, IL 60451(708) 424-0656(630) 904-0413 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2018, Mar 20, 2018, Dec 3, 2015 (3 updates tracked since 2015).

About Premier Dermatology NPPES

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

PREMIER DERMATOLOGY (NPI 1154793412) is a healthcare organization registered as a dermatology in New Lenox, Illinois and active in the NPI registry since October 2015. The organization holds a CLIA Microscopy certificate valid through June 6, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1154793412
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1890 SILVER CROSS BLVD, SUITE 505New Lenox, IL 60451
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1439
Fax(630) 904-0413
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateOctober 27, 2015
Last NPPES UpdateMay 17, 20183 updates tracked since enumeration
NPI 1154793412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 · Procedural DermatologyTaxonomy 207NS0135X
1890 SILVER CROSS BLVD, New Lenox, IL 60451

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

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2042214

Premier Dermatology Forefront Dermatology S C · New Lenox, IL
Active · expires Jun 6, 2028
CLIA Number14D2042214
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorSteven Neubauer MD
Laboratory Phone(630) 904-0413
Laboratory LocationPremier Dermatology Forefront Dermatology S C1890 Silver Cross Blvd, New Lenox, IL 60451
CLIA data matches this NPI record on: Address Name
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
1890 SILVER CROSS BLVD, PAVILION A SUITE 240
NEW LENOX, IL 60451
Family Medicine
1890 SILVER CROSS BLVD, SUITE 570
NEW LENOX, IL 60451
Internal Medicine
1890 SILVER CROSS BLVD, SUITE 265
NEW LENOX, IL 60451
Physician Assistant
1890 SILVER CROSS BLVD
NEW LENOX, IL 60451
Nurse Practitioner (Women's Health)
1890 SILVER CROSS BLVD, #210
NEW LENOX, IL 60451
Clinic/Center (Primary Care)
1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451
Nurse Practitioner (Adult Health)
1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451
Surgery
1890 SILVER CROSS BLVD, SUITE 410
NEW LENOX, IL 60451

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 1154793412. It was assigned to this organization in the NPPES registry on October 27, 2015. The provider is doing business as Premier Dermatology.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 1890 Silver Cross Blvd Suite 505, New Lenox, IL 60451. The listed phone number is (708) 424-0656.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2042214) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forefront Dermatology, S.C. was last updated on May 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.