SODERSTROM DERMATOLOGY CENTER


Address: 4909 N Glen Park Place Rd, Peoria, IL 61614-4676

SODERSTROM DERMATOLOGY CENTER (DUNS #018430426) is an entity registered with System for Award Management (SAM). The business start date is December 29, 1975.

Business Overview

DUNS Number 018430426 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 86D76 (Commercial and Government Entity Code by NATO Codification System)
DBA Name SODERSTROM DERMATOLOGY CENTER
Entity Structure 2L - Corporate Entity (Not Tax Exempt)
Physical Address 4909 N Glen Park Place Rd
Peoria
IL 61614-4676
Mailing Address 4909 N Glen Park Place Rd
Peoria
IL 61614-4676
Business Type 2X - For Profit Organization
Primary NAICS Code 622110 - General Medical and Surgical Hospitals
Product and Service Code (PSC) Q504 (MEDICAL- DERMATOLOGY) Healthcare Services
Q515 (MEDICAL- PATHOLOGY) Healthcare Services
Q523 (MEDICAL- SURGERY) Healthcare Services
Corporate URL http://www.soderstromskininstitute.com/
Credit Card Usage N
Debt Subject to Offset N
Incorporation State IL
Congressional District 18
Registration Purpose Z2 - All Awards
Record Status Expired
Business Start Date December 29, 1975
Registration Date August 14, 2018
Expiration Date October 11, 2019
Update Date October 11, 2019
Activation Date September 28, 2018
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Sara Stokes (ACCOUNTS RECEIVABLE MANAGER)
Address 4909 North Glen Park Place, Peoria, IL 61614
Phone Number 3096906030
Fax Number 3092820500
Email Address [email protected]

Government Business POC

Contact Name & Title Sara Stokes (ACCOUNTS RECEIVABLE MANAGER)
Address 4909 North Glen Park Place, Peoria, IL 61614
Phone Number 3096906030
Fax Number 3092820500
Email Address [email protected]

Other Data Sources

Entity Type Entity Name Entity Address
National Provider Identifier (NPI) SODERSTROM DERMATOLOGY CENTER S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Iowa Business Entities SODERSTROM DERMATOLOGY CENTER, P.C. 4909 North Glen Park Pl, Peoria, IL 61614
Iowa Business Entities SODERSTROM DERMATOLOGY CENTER, S.C., P.C. 4909 N Glen Parks Place, Peoria, IL 61614

Office Location

Street Address 4909 N GLEN PARK PLACE RD
City PEORIA
State IL
Zip Code 61614

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Business Officer

Business Role Name Address

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City PEORIA
Zip Code 61614

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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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