CENTER FOR COSMETIC AND LASER SURGERY, LLC
NPI 1215276530
Plastic Surgery in Bloomington, IL

Q: What is Center For Cosmetic And Laser Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since February 06, 2013

1505 EASTLAND DR, STE 350, BLOOMINGTON, IL 61701(309) 663-1222 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Center For Cosmetic And Laser Surgery, Llc NPPES

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

CENTER FOR COSMETIC AND LASER SURGERY, LLC (NPI 1215276530) is a healthcare organization registered as a plastic surgery in Bloomington, Illinois and active in the NPI registry since February 2013. The organization lists Jeffrey S Poulter, Owner, as its authorized official.

NPPES Registry Identity

NPI1215276530

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameCENTER FOR COSMETIC AND LASER SURGERY, LLC

Location Address1505 EASTLAND DR, STE 350Bloomington, IL 61701-3534

Mailing Address1505 Eastland Dr, Ste 350Bloomington, IL 61701-3534 · (309) 663-1222

Phone(309) 663-1222

Organization SubpartNo

Authorized OfficialJeffrey S PoulterOwner · (309) 663-1222

Enumeration DateFebruary 6, 2013

✔ NPI 1215276530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036084126

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1505 EASTLAND DR, Bloomington, IL 61701

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Other Identifiers 1

Medicaid036084126IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. VENKATA RANGANADH DODDA MD

Internal Medicine (Critical Care Medicine)

1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701

McLean County (309) 661-2368

DR. EDWARD LESLIE COLLOTON MD

Ophthalmology

1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701

McLean County (309) 662-7700

MS. MELANIE SCHALL

Pharmacist

1505 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 664-0505

NORD OBSTETRICS AND GYNECOLOGY, SC

Obstetrics & Gynecology

1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701

McLean County (309) 663-8888

KENNETH H. INOUE

Internal Medicine

1505 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 661-2368

MCLEAN COUNTY ANESTHESIOLOGY, LTD.

Anesthesiology (Pain Medicine)

1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701

McLean County (309) 663-4700

CAROLINE J TURNER APN

Nurse Practitioner

1505 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 665-4040

DANIELLE BEER

Physician Assistant

1505 EASTLAND DR
BLOOMINGTON, IL 61701

McLean County (309) 663-2100

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 Center For Cosmetic And Laser Surgery, LLC's NPI number?

The NPI number for Center For Cosmetic And Laser Surgery, LLC is 1215276530. It was assigned to this organization in the NPPES registry on February 6, 2013.

Where is Center For Cosmetic And Laser Surgery, LLC located?

Center For Cosmetic And Laser Surgery, LLC is located at 1505 Eastland Dr Ste 350, Bloomington, IL 61701. The listed phone number is (309) 663-1222.

What is Center For Cosmetic And Laser Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Center For Cosmetic And Laser Surgery, LLC was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.