Search › Illinois › 207L00000X
Azhar Kothawala, M.D
NPI 1891042552 · on the registry since 2012
Practice
- Address
- 1235 N Mulford Rd Ste 222
Rockford, IL 61107 - Phone
- (815) 397-8400
- Fax
- (815) 229-0050
- Organisation at this address
- Renviva Llc
Jack W. Lenox
Empicare, Inc.
Todd D Alexander Md Sc
Cornerstone Clinic, Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 800 W Central Rd, Arlington Heights, IL
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207LP2900X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois