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

Active since December 18, 2006
7301 N KNOXVILLE AVE, PEORIA, IL 61614(309) 589-3233(309) 689-0312 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Facial Plastic & Laser Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FACIAL PLASTIC & LASER SURGERY CENTER, LLC (NPI 1194888677) is a healthcare organization registered as a clinic/center in Peoria, Illinois and active in the NPI registry since December 2006. The organization lists Robert J Tudor, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194888677
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFACIAL PLASTIC & LASER SURGERY
Location Address7301 N KNOXVILLE AVEPeoria, IL 61614-2017
Mailing Address7301 N Knoxville AvePeoria, IL 61614-2017 · (309) 589-3233 · Fax (309) 689-0312
Phone(309) 589-3233
Fax(309) 689-0312
Organization SubpartNo
Authorized OfficialRobert J TudorChief Executive Officer · (309) 589-8053
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1194888677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
7301 N KNOXVILLE AVE, Peoria, IL 61614
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Other Names 1

Other NameFacial Plastic & Laser Surgery Center, Llc

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HOLLY J DEMICHELIS MA
Audiologist-Hearing Aid Fitter
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
TINA MARIE LEMAN MS
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
SHEILA DELK MS
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
DR. JACEY GAIL HOEKSTRA AUD
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
JULIE A SIDAK MS
Audiologist-Hearing Aid Fitter
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
JILL ANNE PRUVOST M.S., CCC-A
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
MICHAEL ROONEY HIS
Hearing Instrument Specialist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
JESSICA SALIM PT, DPT
Physical Medicine & Rehabilitation
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Facial Plastic & Laser Surgery's NPI number?

The NPI number for Facial Plastic & Laser Surgery is 1194888677. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is also known as Facial Plastic & Laser Surgery Center, LLC.

Where is Facial Plastic & Laser Surgery located?

Facial Plastic & Laser Surgery is located at 7301 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 589-3233.

What is Facial Plastic & Laser Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Facial Plastic & Laser Surgery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.