Center for Cosmetic and Laser Surgery, LLC
Center for Cosmetic and Laser Surgery, LLC is a Plastic Surgery Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1505 Eastland Dr Ste 350Bloomington, IL 61701-3534
Phone: (309) 663-1222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 036084126 (IL) |
|---|
Record details
| NPI number | 1215276530 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Poulter — Owner · (309) 663-1222 |
| NPI enumerated | February 6, 2013 |
| Last updated in NPPES | February 6, 2013 |
| Mailing address | 1505 Eastland Dr, Ste 350, Bloomington, IL 61701-3534 |
Other providers in Bloomington
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Dr. Otis George Allen, MD
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Dr. Paige C. Holt, MD
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Otis Allen MD SC
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Paige C Holt, MD, Ltd
2502 E Empire St Ste C, Bloomington, IL 61704-3738 · (309) 664-4444
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Paige C. Holt
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