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

Taylor Marie Wells, MD

Individual provider Dermatology Physician · NPI 1013596998

Taylor Marie Wells, MD is a Dermatology in Peoria, Illinois. Graduated from Meharry Medical College School of Medicine in 2021, 5 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Meharry Medical College School of Medicine
Licensed in
VA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 712-4193
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0101286334 (VA)

Record details

NPI number1013596998
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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