Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Facial Plastics & Mohs

Organization MOHS-Micrographic Surgery Physician · NPI 1922295328

Advanced Facial Plastics & Mohs is an MOHS-Micrographic Surgery Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

1235 N Mulford Rd Ste 100
Rockford, IL 61107-3879
Phone: (815) 484-9900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X (IL)
Plastic Surgery Physician Taxonomy 208200000X (IL)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X (IL)

Record details

NPI number1922295328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Macmurchy — Contracting And Credentialing · (815) 484-9900
NPI enumeratedSeptember 28, 2007
Last updated in NPPESNovember 8, 2007
Mailing address1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879