FACIAL PLASTIC & LASER SURGERY CENTER, LLC
NPI 1194888677
Clinic/Center in Peoria, IL

NPI Status: Active since December 18, 2006

Contact Information

7301 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 589-3233
Fax: (309) 689-0312

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About FACIAL PLASTIC & LASER SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Facial Plastic & Laser Surgery Center, Llc, a provider established in Peoria, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1194888677 assigned on December 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Facial Plastic & Laser Surgery Center, Llc. The authorized official of this NPI record is Mr. Robert J Tudor Ii (Chief Executive Officer)

NPI: 1194888677
Provider Legal Name: FACIAL PLASTIC & LASER SURGERY
Other Organization Name: FACIAL PLASTIC & LASER SURGERY CENTER, LLC
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 7301 N KNOXVILLE AVE PEORIA, IL 61614
Location Phone: (309) 589-3233
Location Fax: (309) 689-0312
Mailing Address: 7301 N KNOXVILLE AVE PEORIA, IL 61614
Mailing Phone: (309) 589-3233
Mailing Fax: (309) 689-0312
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-18-2006
Last Update Date: 07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
License State: IL
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. ROBERT J TUDOR II
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (309) 589-8053

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194888677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 6 + 8 + 1 + 6 + 6 + 1 + 4 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1194888677.