Forefront Dermatology, S.c.

NPI #1194462382 in Wheaton, Illinois

Provider Information

NPI Number: 1194462382
Entity Type: Organization
Organization Name: Forefront Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: May 18, 2022
Last Updated: May 18, 2022

Practice Location

Address: 217 RICE LAKE SQ
City: Wheaton
State: Illinois
ZIP Code: 60189-2136
Phone: (630) 221-1883

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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