OrganizationActive
Lakeside Dermatology
NPI 1508252875 · Dermatology Physician · Libertyville, IL
Lakeside Dermatology is a Dermatology Physician organization in Libertyville, IL (NPI 1508252875).
Provider details
- NPI number
- 1508252875
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martha Arroyo, Owner(847) 367-5575
- License
- 036.114928 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1240 N Milwaukee Ave
Libertyville, IL 60048-1307
Phone: (847) 367-5575
Fax: (847) 367-5579
Street-level locationGet directions
Mailing address
1240 N Milwaukee Ave
Libertyville, IL 60048-1307
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Lakeside Dermatology's NPI number?
- Lakeside Dermatology's National Provider Identifier (NPI) is 1508252875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Dermatology?
- Lakeside Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Dermatology located?
- Lakeside Dermatology's practice location on file with NPPES is 1240 N Milwaukee Ave, Libertyville, IL 60048-1307.
- What is Lakeside Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Dermatology is (847) 367-5575.
- Who is the authorized official for Lakeside Dermatology?
- The authorized official listed on Lakeside Dermatology's NPPES record is Martha Arroyo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Dermatology's NPI active?
- Yes — Lakeside Dermatology's NPI (1508252875) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.