Organization · Type 2 NPI

Soderstrom Dermatology Center S C

Dermatology Physician · Peoria, IL

NPI number 1710931670 Active

Practice location

4909 N Glen Park Place Rd
Peoria, IL 61614-4676

Call (309) 674-7546 Map

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Dermatopathology Physician 207ND0900XNone listed
Procedural Dermatology Physician 207NS0135XNone listed
Dermatopathology (Pathology) Physician 207ZD0900XNone listed
Plastic Surgery Physician 208200000XNone listed
Surgery Physician 208600000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1710931670

Soderstrom Dermatology Center S C's National Provider Identifier is 1710931670, issued on May 22, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 8, 2008.