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Dr. Carl William Soderstrom Jr., M.D.

Dermatopathology Physician in Peoria, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053370759

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Registry record

Entity type Individual (Type 1)
Name Dr. Carl William Soderstrom Jr.
Credential M.D.
Sex Male
Practice address 4909 N Glen Park Place Rd, Peoria, IL, 61614
Phone (309) 674-7546
Enumeration date Mar 21, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Carl Soderstrom practice?
The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Carl Soderstrom?
The National Provider Identifier (NPI) for Carl Soderstrom is 1053370759, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.