Individual provider · Type 1 NPI

Jack Peter Kotlarz, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Rockford, IL

NPI number 1922090646 Active

Practice location

1253 N Alpine Rd
Rockford, IL 61107-2201

Call (779) 696-9201 Map

Fax (815) 397-9667

Mailing address

6100 North Davis Hwy
Pensacola, FL 32504-6950

Other practice locations

  • 3100 E Fletcher Ave, Tampa, FL 33613-4613 · (813) 971-6000
  • 6100 North Davis Hwy, Pensacola, FL 32504-6950 · (850) 471-2377

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XME62757 (FL)
Otolaryngology Physician 207Y00000XME62757 (FL)
Otolaryngology Physician 207Y00000X2024013411 (MO)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X036170362 (IL)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: 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 surgeri…

24 other providers at this address

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About NPI 1922090646

Jack Peter Kotlarz, MD's National Provider Identifier is 1922090646, issued on Aug 18, 2005. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Rockford, IL. The record was last updated on Dec 10, 2024.