IOWA DERMATOLOGY INSTITUTE, P.C. – Surgery of the Hand (Plastic Surgery) Physician, NPI 1265636708

IOWA DERMATOLOGY INSTITUTE, P.C. is a healthcare provider. based in Peoria, Illinois. specializing in Surgery of the Hand (Plastic Surgery) Physician. The NPI Number for IOWA DERMATOLOGY INSTITUTE, P.C. is 1265636708

Main info

Organization
Name
IOWA DERMATOLOGY INSTITUTE, P.C.
NPI
1265636708
Phone
(309) 674-7546
Address
4909 N GLEN PARK PLACE RD
Authorized Official
DR. CARL W. SODERSTROM PHYSICIAN M.D.
Enumeration Date
11 June 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:18State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for IOWA DERMATOLOGY INSTITUTE, P.C.

  • 4909, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616144676

    Phone: (309) 674-7546

    Fax: (309) 282-0500

    Type: Mailing

  • 2315, Roosevelt Street, Clinton, Clinton County, Iowa, 52732, United States

    CLINTON, IA 527322412

    Phone: (563) 242-3571

    Fax: (563) 243-4971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61614)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check IOWA DERMATOLOGY INSTITUTE, P.C. using NPI 1265636708?
NPI 1265636708 belongs to IOWA DERMATOLOGY INSTITUTE, P.C.; compare other details if you need extra assurance.
Is IOWA DERMATOLOGY INSTITUTE, P.C. still an active registrant?
IOWA DERMATOLOGY INSTITUTE, P.C. carries an active NPI according to the public dataset.
What expertise is attributed to IOWA DERMATOLOGY INSTITUTE, P.C.?
IOWA DERMATOLOGY INSTITUTE, P.C.'s specialty line reads Surgery of the Hand (Plastic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is IOWA DERMATOLOGY INSTITUTE, P.C. located near Peoria?
IOWA DERMATOLOGY INSTITUTE, P.C. currently maps to Peoria, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DR. RAYMOND V JANEVICIUS (MD)

Surgery of the Hand (Plastic Surgery) Physician
Schiller Street, Elmhurst, Illinois, 60126, United States of America
NPI: 1669475794

DR. RAMASAMY KALIMUTHU (M.D.)

Plastic Surgery Physician
5346, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
NPI: 1366448128

MICHAEL W NEUMEISTER (M.D.)

Surgery of the Hand (Plastic Surgery) Physician
PO BOX 19653
NPI: 1326034448

DR. JAMES DAVID SCHLENKER (MDSC)

Surgery of the Hand (Plastic Surgery) Physician
6311, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
NPI: 1396716106

DR. JERRY CHOW (M.D.)

Plastic Surgery Physician
Palos Health Surgery Center, 15300, West Avenue, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
NPI: 1508831660
PO BOX 19653
NPI: 1821066192

ROBERT C RUSSELL (M.D.)

Plastic and Reconstructive Surgery Physician
Heartland Plastic Surgery, 320, East Carpenter Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1700823879