Search › Illinois › Plastic Surgery Physician
Jeffrey Poulter, M.D
NPI 1174521074 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1505 Eastland Dr
Ste 350
Bloomington, IL 61701 - Phone
- (309) 663-1222
- Fax
- (309) 663-0580
- Organisation at this address
- Pointcore, Inc.
Heartcare Midwest
Osf Healthcare System
Edward W Pegg Md, Llc
Eastland Open Mri LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 93
Registry record
- Primary taxonomy
- Plastic Surgery Physician
208200000X
- Also registered as
- Plastic and Reconstructive Surgery Physician
Plastic and Reconstructive Surgery Physician - Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois