Facial Plastic & Laser Surgery

Facial Plastic & Laser Surgery is a healthcare organization registered as Clinic/Center in Peoria, IL, holding Type 2 (organization) NPI 1194888677 since 2006. The authorized official on file is Robert Tudor, Chief Executive Officer.

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NPI	1194888677
Entity type	Organization (Type 2)
Legal business name	Facial Plastic & Laser Surgery
Other name	<Unavail>
Practice address	7301 N KNOXVILLE AVE, Peoria, IL, 61614
Phone	3095893233
Fax	3096890312
Enumeration date	2006-12-18
Last updated in NPPES	2022-07-21

Authorized official

Name	Robert Tudor
Title	Chief Executive Officer
Phone	3095898053

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261Q00000X	Clinic/Center	Primary	—	IL

Copy-ready billing details

Provider: Facial Plastic & Laser Surgery
NPI: 1194888677
Taxonomy: 261Q00000X (Clinic/Center)
Address: 7301 N KNOXVILLE AVE, Peoria, IL, 61614

Providers at this address

NPI	Name	Type	Specialty	Location
1952380628	Peoria Ear Nose and Throat Group Sc	Organization	Otolaryngology Physician	Peoria, IL
1114997558	Sheila Delk	Individual	Audiologist	Peoria, IL
1477524171	Harrison Putman	Individual	Otolaryngology/Facial Plastic Surgery Physician	Peoria, IL
1417928128	James Geraghty	Individual	Otolaryngology Physician	Peoria, IL
1013988427	Holly Demichelis	Individual	Audiologist-Hearing Aid Fitter	Peoria, IL
1316911589	Julie Sidak	Individual	Audiologist-Hearing Aid Fitter	Peoria, IL
1366456527	Jill Pruvost	Individual	Audiologist	Peoria, IL
1881702769	Becky Braun	Individual	Audiologist	Peoria, IL

Verify this record

Cross-check NPI 1194888677 against the authoritative CMS record: view Facial Plastic & Laser Surgery on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Where is Facial Plastic & Laser Surgery located?

The practice location on file with NPPES is in Peoria, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.