Jack Kotlarz, MD

Individual Active
NPI 1922090646
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Rockford, IL

NPI 1922090646 belongs to Jack Kotlarz, MD, a plastic surgery within the head & neck (otolaryngology) physician with a practice location in Rockford, IL. The NPI was issued on August 18, 2005, and the record was last updated in NPPES on December 10, 2024. The record lists 4 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X 036170362 (IL)
Specialist 174400000X ME62757 (FL)
Otolaryngology Physician 207Y00000X ME62757 (FL)
Otolaryngology Physician 207Y00000X 2024013411 (MO)

Practice locations

1253 N Alpine Rd
Rockford, IL 61107-2201
Phone: (779) 696-9201
6100 North Davis Hwy
Pensacola, FL 32504-6950
Phone: (850) 471-2377
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone: (813) 971-6000

Local context

Active NPPES records list 4 providers with plastic surgery within the head & neck (otolaryngology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 23 in Illinois and 887 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jack Peter Kotlarz
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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