CENTER FOR COSMETIC AND LASER SURGERY, LLC – Plastic Surgery Physician, NPI 1215276530

CENTER FOR COSMETIC AND LASER SURGERY, LLC is a healthcare provider. based in Bloomington, Illinois. specializing in Plastic Surgery Physician. The organization holds a License No. 036084126 (IL). The NPI Number for CENTER FOR COSMETIC AND LASER SURGERY, LLC is 1215276530

Main info

Organization
Name
CENTER FOR COSMETIC AND LASER SURGERY, LLC
NPI
1215276530
Phone
(309) 663-1222
Address
1505 EASTLAND DR
Authorized Official
DR. JEFFREY S POULTER OWNER MD
Enumeration Date
6 February 2013
Last Update Date
6 February 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for CENTER FOR COSMETIC AND LASER SURGERY, LLC

  • 1505 EASTLAND DR

    STE 350

    BLOOMINGTON, IL 617013534

    Phone: (309) 663-1222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

Does CENTER FOR COSMETIC AND LASER SURGERY, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CENTER FOR COSMETIC AND LASER SURGERY, LLC uses 1215276530.
Is CENTER FOR COSMETIC AND LASER SURGERY, LLC listed as active for patients and plans?
The listing shows CENTER FOR COSMETIC AND LASER SURGERY, LLC as active in the NPI system.
What is CENTER FOR COSMETIC AND LASER SURGERY, LLC best known for clinically?
Directory data describes CENTER FOR COSMETIC AND LASER SURGERY, LLC with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is CENTER FOR COSMETIC AND LASER SURGERY, LLC based?
CENTER FOR COSMETIC AND LASER SURGERY, LLC is tied to Bloomington, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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