location
search-icon
person
Jack Peter Kotlarz, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Rockford, Illinois
NPI 1922090646

Jack Peter Kotlarz is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Pensacola, IL and is specialized in Plastic Surgery within the Head & Neck. Jack Peter Kotlarz practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Jack Peter Kotlarz is 1922090646 and holds a License No. ME62757 (Illinois).

The current practice location address for Jack Peter Kotlarz is 1253 N Alpine Rd, Rockford, IL and can be reached out via phone at 779-696-9201 and via fax at 815-397-9667.

Location: 1253 N Alpine Rd, Rockford, IL, 32504-6950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922090646
Provider Name
Jack Peter Kotlarz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1253 N Alpine Rd, Rockford, IL, 32504-6950
Phone Number
779-696-9201
Fax Number
815-397-9667
Provider Enumeration Date
08/18/2005
Last Update Date
01/18/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4314144 01 FL AETNA
7618346003 01 FL CIGNA PPO
009900475 01 AL MEDICAID ALA
040016528 01 FL UHC MCR RR
590 51780 01 AL BCBS OF ALA
253548300 05 FL
42544 01 FL BCBS OF FLORIDA
institution
Provider Business Practice Location Address Details
Address
1253 N Alpine Rd
City
Rockford
State
Illinois
Zip
61107-2201
Phone Number
779-696-9201
Fax Number
815-397-9667
person
Provider Business Mailing Address Details
Address
1253 N Alpine Rd
City
Rockford
State
Illinois
Zip
61107-2201
Phone Number
779-696-9201
Fax Number
815-397-9667
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2024013411 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
ME62757 (Florida)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
ME62757 (Florida)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Rockford, Illinois:

person
Ronald B Foran
NPI 1710980396
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
444 Roxbury Rd,
ROCKFORD, IL
61107-5059
815-227-5600
More
person
Alfred R Huyoung
NPI 1306849989
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
5701 Strathmoor Dr,
ROCKFORD, IL
61107-5184
815-227-5600
More
person
Thomas J Shula
NPI 1760486245
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
444 Roxbury Rd,
ROCKFORD, IL
61107-5059
815-227-5600
More