Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael L Hayes, DO

Individual provider Dermatology Physician · NPI 1912017245

Dr. Michael L Hayes, DO is a Dermatology in Peoria, Illinois. Qualified in 1994, 32 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
32
Licensed in
IA, IL
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 674-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036-107830 (IL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 036-107830 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 02938 (IA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 02938 (IA)

Record details

NPI number1912017245
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 15, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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