Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SODERSTROM DERMATOLOGY CENTER S C
Active OrganizationSODERSTROM DERMATOLOGY CENTER S C is a Dermatology organization located in PEORIA, Illinois. NPI 1710931670 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PEORIA, IL
Registration Details
- NPI Number
- 1710931670
- Provider Type
- Organization
- NPI Issued
- May 22, 2006 (20.252233306657 yrs)
- Last Updated
- Apr 8, 2008
Practice Information
- Address
-
4909 N GLEN PARK PLACE RDPEORIA, IL, 616144676Browse IL providers · Browse ZIP 61614
- Phone
- 3096747546
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Plastic Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Obesity Medicine
Other Dermatology Organizations in PEORIA, IL
| Name | NPI |
|---|---|
| CENTRAL ILLINOIS DERMATOLOGY, S.C. | 1548358054 |
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.