Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otis Allen MD SC

Organization Plastic Surgery Physician · NPI 1457629842

Otis Allen MD SC is a Plastic Surgery Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

1215 Holiday Dr
Bloomington, IL 61704-2214
Phone: (309) 827-3881
Fax: (309) 661-0234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 036064804 (IL)

Record details

NPI number1457629842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Allen — Office Manager · (309) 827-3881
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011
Mailing address1215 Holiday Dr, Bloomington, IL 61704-2214

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