Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Dermatology

Organization Dermatology Physician · NPI 1508252875

Lakeside Dermatology is a Dermatology Physician in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

1240 N Milwaukee Ave
Libertyville, IL 60048-1307
Phone: (847) 367-5575
Fax: (847) 367-5579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036.114928 (IL)

Record details

NPI number1508252875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Arroyo — Owner · (847) 367-5575
NPI enumeratedApril 13, 2015
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address1240 N Milwaukee Ave, Libertyville, IL 60048-1307

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