MATTHEW KOTTACKAL GEORGE

ROCKFORD, IL
NPI1821484601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: IL  036.166381)
Enumeration Date2015-04-08
Last Update Date2024-08-17
Business Address
MATTHEW KOTTACKAL GEORGE M.D.
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-226-2000
Mailing Address
MATTHEW KOTTACKAL GEORGE M.D.
6421 BURBERRY DR
ROCKFORD, IL 61114-7807
Phone number: 518-391-0548
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