Soderstrom Dermatology Center S C in Peoria - Dermatology
Soderstrom Dermatology Center S C - NPI 1710931670
Soderstrom Dermatology Center S C is a Dermatology in Peoria, Illinois. Soderstrom Dermatology Center S C practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Soderstrom Dermatology Center S C is 1710931670. The last update date is 2008-04-08.
Soderstrom Dermatology Center S C's current location address is 4909 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096747546. The mailing address for Soderstrom Dermatology Center S C is 4909 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soderstrom Dermatology Center S C |
|---|---|
| Address | 4909 N Glen Park Place Rd, Peoria, Illinois |
| Phone Number | 3096747546 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Peugh M Christina |
| Credentials | MBA |
| Telephone Number | 3096747546 |
NPI Number Detail
| NPI Number | 1710931670 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 4909 N Glen Park Place Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144676 |
| Phone Number | 3096747546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: 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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Soderstrom Dermatology Center S C by the Centers for Medicare & Medicaid Services?
The Soderstrom Dermatology Center S C has been issued the NPI (National Provider Identifier) 1710931670, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Soderstrom Dermatology Center S C?
The Soderstrom Dermatology Center S C is physically situated at 4909 N Glen Park Place Rd, in the city of Peoria, state of IL, with the postal code 616144676.
What is the area of specialization for Soderstrom Dermatology Center S C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Soderstrom Dermatology Center S C is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When was the Soderstrom Dermatology Center S C's 1710931670 issued?
The Soderstrom Dermatology Center S C's 1710931670 was issued on 2006-05-22.
As of what date was the information regarding Soderstrom Dermatology Center S C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Soderstrom Dermatology Center S C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-08.