NPI 1154793412

Forefront Dermatology, S.C.

Organisation Dermatology Physician New Lenox, IL

Practice location

Address: 1890 Silver Cross Blvd Suite 505, New Lenox, IL 60451
Phone: (708) 424-0656
Fax: (630) 904-0413
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Authorised official

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

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Illinois →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1154793412
Entity type: Organization
NPI issued: 27 Oct 2015
Record last updated: 17 May 2018

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.