Soderstrom Dermatology Center S C
Soderstrom Dermatology Center S C is a Dermatology Physician in Peoria, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 7
Practice location Address checks out
4909 N Glen Park Place RdPeoria, IL 61614-4676
Phone: (309) 674-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Dermatopathology Physician | Taxonomy 207ND0900X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
| Dermatopathology (Pathology) Physician | Taxonomy 207ZD0900X |
| Plastic Surgery Physician | Taxonomy 208200000X |
| Surgery Physician | Taxonomy 208600000X |
Record details
| NPI number | 1710931670 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christina Peugh — Executive Director · (309) 674-7546 |
| NPI enumerated | May 22, 2006 |
| Last updated in NPPES | April 8, 2008 |
| Mailing address | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
Other providers in Peoria
-
Christopher T Kroodsma, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903
-
Bruce A McLelland, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903
-
Dr. Colleen Silva, MD
9010 N Allen Rd Ste J, Peoria, IL 61615 · (800) 444-7541
-
Dr. Carl William Soderstrom Jr., MD
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 674-7546
-
Ashley Steffens
5401 N Knoxville Ave, Peoria, IL 61614-5098 · (093) 691-2903
-
Harry C Stone, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903
-
Taylor Marie Wells, MD
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 712-4193