Question 1

What type of a medical provider is John R Soderstrom?

Accepted Answer

John R Soderstrom is a Physician Assistant.

Question 2

Where does John R Soderstrom practice medicine?

Accepted Answer

John R Soderstrom has the following practice address:4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676

Question 3

Does this provider have a license number?

Accepted Answer

We do not know of any license numbers associated with John R Soderstrom.

Question 4

Does John R Soderstrom accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does John R Soderstrom have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is John R Soderstrom a member of any Medical Groups?

Accepted Answer

John R Soderstrom is affiliated with one medical group in the PEORIA area, SODERSTROM DERMATOLOGY CENTER S C..

Question 7

Does John R Soderstrom participate in PECOS?

Accepted Answer

Yes, John R Soderstrom participates in PECOS.

Question 8

What phone number can I call to contact John R Soderstrom?

Accepted Answer

You can call the following number: (309)-674-7546

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to John R Soderstrom.

Question 10

Is John R Soderstrom  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with 2 hospitals, including: PEKIN MEMORIAL HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 18 years ago (7/8/2007).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20100714000295
PECOS Individual PAC ID:	6406858125
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

John R Soderstrom

Overview