Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESIDE DERMATOLOGY
Active OrganizationLAKESIDE DERMATOLOGY is a Dermatology organization located in LIBERTYVILLE, Illinois. NPI 1508252875 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1508252875
- Provider Type
- Organization
- NPI Issued
- Apr 13, 2015 (11.363327664331 yrs)
- Last Updated
- Dec 15, 2021
- License
-
036.114928 (IL)
Practice Information
- Address
-
1240 N MILWAUKEE AVELIBERTYVILLE, IL, 600481307Browse IL providers · Browse ZIP 60048
- Phone
- 8473675575
- Fax
- 8473675579
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Organizations in LIBERTYVILLE, IL
| Name | NPI |
|---|---|
| DERICK DERMATOLOGY, PLLC | 1174097836 |
| FOREFRONT DERMATOLOGY, S.C. | 1841902038 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.