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

Center of Excellence in Plastic, Aesthetic, and Reconstructive Surgery, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1356293906

Center of Excellence in Plastic, Aesthetic, and Reconstructive Surgery, Inc is a Plastic and Reconstructive Surgery Physician in Peoria Heights, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 E Samuel Ave Apt 3D
Peoria Heights, IL 61616-6497
Phone: (312) 371-4248
Fax: (312) 284-1030
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1356293906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amir Dorafshar — President · (312) 371-4248
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address152 W Huron St Unit 500, Chicago, IL 60654-7384