Organization Active NPI

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

  • Plastic and Reconstructive Surgery Physician
  • Peoria Heights, IL
National Provider Identifier
1356293906
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CENTER OF EXCELLENCE IN PLASTIC, AESTHETIC, AND RECONSTRUCTIVE SURGERY, INC.
Practice address
1310 E Samuel Ave Apt 3D
Peoria Heights, IL 61616-6497
Phone
(312) 371-4248
Fax
(312) 284-1030
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amir H Dorafshar, MDNPI 1942415823
Title
President
Phone
(312) 371-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1310 E Samuel Ave Apt 3D
Peoria Heights, IL 61616-6497

Mailing address

152 W Huron St Unit 500
Chicago, IL 60654-7384
Phone (312) 371-4248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1356293906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W HURON ST UNIT 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547384",
            "telephone_number": "312-371-4248",
            "fax_number": "312-284-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E SAMUEL AVE APT 3D",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166497",
            "telephone_number": "312-371-4248",
            "fax_number": "312-284-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF EXCELLENCE IN PLASTIC, AESTHETIC, AND RECONSTRUCTIVE SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "DORAFSHAR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-371-4248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.