Dr Carl William Soderstrom Jr, MD in Peoria, IL

Dr Carl William Soderstrom Jr, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Peoria, Illinois. His current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 674-7546.

Dr Carl William Soderstrom Jr is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053370759.

Contact Information

	Dr Carl William Soderstrom Jr, MD
	4909 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 674-7546
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carl William Soderstrom Jr
Gender	Male
Speciality
Experience	Years
Location	4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Carl William Soderstrom Jr attended and graduated from in

NPI Data:

NPI Number: 1053370759
Provider Enumeration Date: 03/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Carl William Soderstrom Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053370759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	(Illinois)	Primary
207ND0900X	Dermatology - Dermatopathology	(Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl William Soderstrom Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Dermatology Doctors in Peoria, IL

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
Jamie Lynn Frey, MD 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

Dr Carl William Soderstrom Jr, MD - Medicare in Peoria, IL