Soderstrom Dermatology Center S C
Soderstrom Dermatology Center S C is an Ambulatory Surgical Clinic/Center in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
4909 N Glen Park Place RdPeoria, IL 61614-4676
Phone: (309) 690-6012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 7001530 (IL) |
|---|
Record details
| NPI number | 1053362343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Soderstrom Dermatology Center S C |
| Authorized official | Tina Peugh — Executive Director, Soderstrom Derm · (309) 674-7546 |
| Other names | Peoria Ambulatory Surgery Center |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | June 25, 2008 |
| Mailing address | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
Other providers in Peoria
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Nationalhealthcareinc
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-
Peoria Day Surgery Center Ltd
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-
Prairie Surgicare, LLC
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-
Proctor Health Systems
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Springfield Clinic LLP
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