Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Plastic and Reconstructive Surgery Physician services 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