Carl Soderstrom, M.D.
NPI 1053370759 · Dermatopathology Physician · Peoria, IL
Carl Soderstrom, M.D. is a Dermatopathology Physician provider in Peoria, IL (NPI 1053370759).
Provider details
- NPI number
- 1053370759
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2025-09-11
Frequently asked questions
- What is Carl Soderstrom's NPI number?
- Carl Soderstrom's National Provider Identifier (NPI) is 1053370759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Soderstrom's specialty?
- Carl Soderstrom is listed in the NPPES registry with a primary specialty of Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Carl Soderstrom located?
- Carl Soderstrom's practice location on file with NPPES is 4909 N Glen Park Place Rd, Peoria, IL 61614-4676.
- What is Carl Soderstrom's phone number?
- The practice phone number listed in the NPPES registry for Carl Soderstrom is (309) 674-7546.
- Is Carl Soderstrom's NPI active?
- Yes — Carl Soderstrom's NPI (1053370759) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.