JACK KOTLARZ, MD
Otolaryngology - Plastic Surgery within the Head & Neck
Active
Individual
NPI: 1922090646
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | No | ME62757 (FL) |
| Otolaryngology | 207Y00000X | No | 2024013411 (MO) |
| Otolaryngology - Plastic Surgery within the Head & Neck | 207YX0007X | Yes | 036170362 (IL) |
Frequently Asked Questions
NPI 1922090646 is the National Provider Identifier for JACK KOTLARZ, MD, a Otolaryngology - Plastic Surgery within the Head & Neck provider located in Rockford, IL. This NPI was enumerated on August 18, 2005.
JACK KOTLARZ, MD practices at 1253 N ALPINE RD, Rockford, IL 61107.
Quick Facts
- NPI
- 1922090646
- Type
- Individual
- Enumerated
- Aug 18, 2005
- Last Updated
- Dec 10, 2024
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