LAKESIDE DERMATOLOGY – Dermatology Physician, NPI 1508252875

LAKESIDE DERMATOLOGY is a healthcare provider. based in Libertyville, Illinois. specializing in Dermatology Physician. The organization holds a License No. 036.114928 (IL). The NPI Number for LAKESIDE DERMATOLOGY is 1508252875

Main info

Organization
Name
LAKESIDE DERMATOLOGY
NPI
1508252875
Phone
(847) 367-5575
Address
1240 N MILWAUKEE AVE
Authorized Official
DR. MARTHA P ARROYO OWNER M.D.
Enumeration Date
13 April 2015
Last Update Date
15 December 2021

Contacts

FHIR Endpoint
lakesidederm.ema.md/fhir/metadata
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for LAKESIDE DERMATOLOGY

  • 1240 N MILWAUKEE AVE

    LIBERTYVILLE, IL 600481307

    Phone: (847) 367-5575

    Fax: (847) 367-5579

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Reviews

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Frequently asked questions

Does LAKESIDE DERMATOLOGY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAKESIDE DERMATOLOGY uses 1508252875.
Does the file indicate LAKESIDE DERMATOLOGY is practicing under active NPI?
Directory data currently reports LAKESIDE DERMATOLOGY as active.
What is LAKESIDE DERMATOLOGY best known for clinically?
Directory data describes LAKESIDE DERMATOLOGY with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LAKESIDE DERMATOLOGY?
LAKESIDE DERMATOLOGY's geographic hint is Libertyville, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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