Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Center for Cosmetic and Laser Surgery, LLC

Plastic Surgery Physician in Bloomington, IL · enumerated 2013 · authorized official Jeffrey Poulter, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215276530

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Registry record

Entity type Organization (Type 2)

Legal business name Center for Cosmetic and Laser Surgery, LLC

Practice address 1505 Eastland Dr, Ste 350, Bloomington, IL, 61701

Phone (309) 663-1222

Enumeration date Feb 6, 2013

Last updated in NPPES Feb 6, 2013

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 036084126 (IL) Primary

Authorized official

Name Jeffrey Poulter

Title Owner

Phone (309) 663-1222

Other identifiers

Identifier	Type	State	Issuer
036084126	Medicaid	IL	-

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 → Validate an NPI →

Frequently asked questions

Where is Center for Cosmetic and Laser Surgery, LLC located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-02-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-06.