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DR. RICHARD D. CORLEY, S.C.
NPI 1538498209
Plastic Surgery in Peoria, IL

Active since December 09, 2009
416 ST. MARK CT., #106, PEORIA, IL 61603(309) 674-2822(309) 674-4250 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Richard D. Corley, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD D. CORLEY, S.C. (NPI 1538498209) is a healthcare organization registered as a plastic surgery in Peoria, Illinois and active in the NPI registry since December 2009. The organization lists Richard D. Corley, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1538498209
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDR. RICHARD D. CORLEY, S.C.
Location Address416 ST. MARK CT., #106Peoria, IL 61603-1928
Mailing Address416 St. Mark Ct., #106Peoria, IL 61603-1928 · (309) 674-2822 · Fax (309) 674-4250
Phone(309) 674-2822
Fax(309) 674-4250
Organization SubpartNo
Authorized OfficialRichard D. CorleyDirect Owner · (309) 674-2822
Enumeration DateDecember 9, 2009
✔ NPI 1538498209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036-037-295
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
416 ST. MARK CT., Peoria, IL 61603
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Other Identifiers 3

Medicaid036037295IL
Medicare PIN266890
Medicare UPIND10465

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Richard D. Corley, S.C.'s NPI number?

The NPI number for Dr. Richard D. Corley, S.C. is 1538498209. It was assigned to this organization in the NPPES registry on December 9, 2009.

Where is Dr. Richard D. Corley, S.C. located?

Dr. Richard D. Corley, S.C. is located at 416 St. Mark Ct. #106, Peoria, IL 61603. The listed phone number is (309) 674-2822.

What is Dr. Richard D. Corley, S.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Dr. Richard D. Corley, S.C. was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.