Individual
DR. CARL WILLIAM SODERSTROM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
IL
207ND0900X
Dermatopathology Physician
Primary
—
IL
Other
Enumeration date
03/21/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us