OrganizationActive
Center for Cosmetic Medicine, Ltd.
NPI 1104033794 · Specialist · Decatur, IL
Center for Cosmetic Medicine, Ltd. is a Specialist organization in Decatur, IL (NPI 1104033794).
Provider details
- NPI number
- 1104033794
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Stuart Baker, President(217) 877-9000
- License
- 036060776 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Memorial Dr Ste 310
Decatur, IL 62526-3983
Phone: (217) 877-9000
Fax: (217) 877-9615
Street-level locationGet directions
Mailing address
2 Memorial Dr Ste 310
Decatur, IL 62526-3983
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2013-10-17
Frequently asked questions
- What is Center for Cosmetic Medicine, Ltd.'s NPI number?
- Center for Cosmetic Medicine, Ltd.'s National Provider Identifier (NPI) is 1104033794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Cosmetic Medicine, Ltd.?
- Center for Cosmetic Medicine, Ltd. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Center for Cosmetic Medicine, Ltd. located?
- Center for Cosmetic Medicine, Ltd.'s practice location on file with NPPES is 2 Memorial Dr Ste 310, Decatur, IL 62526-3983.
- What is Center for Cosmetic Medicine, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Center for Cosmetic Medicine, Ltd. is (217) 877-9000.
- Who is the authorized official for Center for Cosmetic Medicine, Ltd.?
- The authorized official listed on Center for Cosmetic Medicine, Ltd.'s NPPES record is Stuart Baker, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Cosmetic Medicine, Ltd.'s NPI active?
- Yes — Center for Cosmetic Medicine, Ltd.'s NPI (1104033794) is active in the NPPES registry as of the last update on 2013-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.