OrganizationActive
Facial Plastic & Laser Surgery
NPI 1194888677 · Clinic/Center · Peoria, IL
Facial Plastic & Laser Surgery is a Clinic/Center organization in Peoria, IL (NPI 1194888677).
Provider details
- NPI number
- 1194888677
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Tudor, Chief Executive Officer(309) 589-8053
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 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
7301 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 589-3233
Fax: (309) 689-0312
Street-level locationGet directions
Mailing address
7301 N Knoxville Ave
Peoria, IL 61614-2017
Other names (DBA / former)
- Other name
- Facial Plastic & Laser Surgery Center, LLC
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2022-07-21
Frequently asked questions
- What is Facial Plastic & Laser Surgery's NPI number?
- Facial Plastic & Laser Surgery's National Provider Identifier (NPI) is 1194888677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Facial Plastic & Laser Surgery?
- Facial Plastic & Laser Surgery is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Facial Plastic & Laser Surgery located?
- Facial Plastic & Laser Surgery's practice location on file with NPPES is 7301 N Knoxville Ave, Peoria, IL 61614-2017.
- What is Facial Plastic & Laser Surgery's phone number?
- The practice phone number listed in the NPPES registry for Facial Plastic & Laser Surgery is (309) 589-3233.
- Who is the authorized official for Facial Plastic & Laser Surgery?
- The authorized official listed on Facial Plastic & Laser Surgery's NPPES record is Robert Tudor, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Facial Plastic & Laser Surgery's NPI active?
- Yes — Facial Plastic & Laser Surgery's NPI (1194888677) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.