| Dr Carl William Soderstrom Jr, MD | |
|
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | |
| (309) 674-7546 | |
| Not Available |
| Full Name | Dr Carl William Soderstrom Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Dermatopathology |
| Location | 4909 N Glen Park Place Rd, Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053370759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | (Illinois) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carl William Soderstrom Jr, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 | Dr Carl William Soderstrom Jr, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 |
Taylor Marie Wells, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-712-4193 | |
Dr. Janeen Noelle Buonaccorsi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9052 | |
Dr. Tesfu Hailu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-691-9286 | |
Christopher T Kroodsma, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909 | |
Ashley Steffens, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Peoria, IL 61614 Phone: 093-691-2903 Fax: 309-691-2909 | |
Harry C Stone, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 |