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

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: July 26, 2026.

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
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

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.

Internal Medicine (Critical Care Medicine)
1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701
Ophthalmology
1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701
Pharmacist
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Obstetrics & Gynecology
1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701
Internal Medicine
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Anesthesiology (Pain Medicine)
1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701
Nurse Practitioner
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Physician Assistant
1505 EASTLAND DR
BLOOMINGTON, IL 61701

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 with the weekly NPPES data releases published by CMS.