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Primary Practice Address
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676 US
Accepts Medicare Payment

PECOS Enrolled

Carl William Soderstrom

Dermatologist


Carl William Soderstrom

Overview

Carl William Soderstrom is a Dermatologist in the PEORIA area and has over 31 years of experience. Carl William Soderstrom primary office location is at 4909 N GLEN PARK PLACE RD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1053370759 and the information was updated approximately 18 years ago.

Carl William Soderstrom is affiliated with one medical group in the PEORIA area, SODERSTROM DERMATOLOGY CENTER SC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676 US
Phone: (309)-674-7546
Fax:
Practice Mailing Information
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676 US
Phone: (309)-674-7546
Fax:
License Number State
- IL