Center for Cosmetic and Laser Surgery, LLC
Center for Cosmetic and Laser Surgery, LLC provides Plastic Surgery Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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 |
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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
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