Search › Illinois › Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Jack Kotlarz, MD
NPI 1922090646 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1253 N Alpine Rd
Rockford, IL 61107 - Phone
- (779) 696-9201
- Fax
- (815) 397-9667
- Organisation at this address
- Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Additional practice sites
- 3100 E Fletcher Ave, Tampa, FL
- 6100 North Davis Hwy, Pensacola, FL
Registry record
- Primary taxonomy
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
207YX0007X
- Also registered as
- Specialist
Otolaryngology Physician
Otolaryngology Physician - Licence states on file
- FL, MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois