Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARL WILLIAM SODERSTROM JR., M.D.
ActiveDR. CARL WILLIAM SODERSTROM JR., M.D. is a Dermatopathology healthcare provider located in PEORIA, Illinois. NPI 1053370759 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · PEORIA, IL
Registration Details
- NPI Number
- 1053370759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.411791114185 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
4909 N GLEN PARK PLACE RDPEORIA, IL, 616144676Browse IL providers · Browse ZIP 61614
- Phone
- 3096747546
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatopathology
Other Dermatopathology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TESFU HAILU | MD | 1245490382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.