Jack P. Kotlarz, MD
Facial Plastic & Reconstructive Surgery · Rockford, IL
UnclaimedMDNPI 1922090646
- Primary taxonomy
- 207YX0007X
- Enumerated
- 2005-08-18
- Practice location
- Rockford, IL
- Last NPPES update
- 2024-12-10
State licenses
- FL · Physician · NPPES self-reportedListed on NPI record
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2026
- MO · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.