Forefront Dermatology, S.c.

NPI #1053994004 in Park Ridge, Illinois

Provider Information

NPI Number: 1053994004
Entity Type: Organization
Organization Name: Forefront Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: Apr 28, 2021
Last Updated: Apr 28, 2021

Practice Location

Address: 2604 DEMPSTER ST STE 101
City: Park Ridge
State: Illinois
ZIP Code: 60068-8425
Phone: (847) 843-3376

Authorized Official

Name: DENISE L ANGER
Title: SR. DIRECTOR, PROVIDER ENROLLMENT
Phone: (920) 663-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Dermatology	207N00000X	Primary

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