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

Dr. Michael L Hayes, DO

Individual provider Dermatology Physician · NPI 1912017245

Dr. Michael L Hayes, DO is a Dermatology in Peoria, Illinois. Qualified in 1994, 32 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
32
Licensed in
IA, IL
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 674-7546
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036-107830 (IL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 036-107830 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 02938 (IA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 02938 (IA)

Record details

NPI number1912017245
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 15, 2008
Mailing address4909 N Glen Park Place Rd, Peoria, IL 61614-4676

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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