OrganizationActive
Advanced Aesthetics Surgery & Laser Center, P.C.
NPI 1366620064 · Ambulatory Surgical Clinic/Center · Champaign, IL
Provider details
- NPI number
- 1366620064
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Kurley, President/Medical Director(217) 356-3850
- License
- 060.007842 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2111 West Park Ct.
Champaign, IL 61821
Phone: (217) 356-3850
Fax: (217) 356-3876
Street-level locationGet directions
Mailing address
1702 Mullikin Dr
Champaign, IL 61822-8305
Registry dates
- Enumerated
- 2008-02-05
- Last updated
- 2018-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.