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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SODERSTROM DERMATOLOGY CENTER S C

Active Organization

SODERSTROM DERMATOLOGY CENTER S C is a Ambulatory Surgical Center organization located in PEORIA, Illinois. NPI 1053362343 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · PEORIA, IL

Registration Details

NPI Number
1053362343
Provider Type
Organization
NPI Issued
May 12, 2006 (20.29431582357 yrs)
Last Updated
Jun 25, 2008
License
7001530 (IL)

Practice Information

Address
4909 N GLEN PARK PLACE RD
PEORIA, IL, 616144676
Browse IL providers · Browse ZIP 61614
Phone
3096906012
Primary Specialty
Ambulatory Surgical Center
261QA1903X

Other Ambulatory Surgical Center Organizations in PEORIA, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.