Individual provider · Type 1 NPI

Matthew Kottackal George, MD

Vascular Surgery Physician · Rockford, IL

NPI number 1821484601 Active

Practice location

5666 E State St
Rockford, IL 61108-2425

Call (815) 226-2000 Map

Mailing address

6421 Burberry Dr
Rockford, IL 61114-7807

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102X036166381 (IL)
Vascular Surgery Physician Primary 2086S0129X036.166381 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1821484601

Matthew Kottackal George, MD's National Provider Identifier is 1821484601, issued on Apr 8, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Rockford, IL. The record was last updated on Feb 6, 2026.