NPI 1083436711

Forefront Dermatology, S.C.

Organisation Dermatology Physician Chicago, IL

Practice location

Address: 331 W Surf St STE 700, Chicago, IL 60657-0083
Phone: (773) 832-7443
Fax: (773) 295-4126
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Authorised official

Name: Betsy J Wernli
Title: President
Phone: (920) 482-0671

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Illinois →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1083436711
Entity type: Organization
NPI issued: 24 Oct 2024
Record last updated: 24 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.