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Organization
CARL A. NOTTOLI, PC
Active
Organization
CARL A. NOTTOLI, PC
Active
Other names
Functional Spine and Sport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ANTHONY NOTTOLI DC (PRESIDENT)
(269) 267-7937
Entity
Organization
Contact information
Practice address
900 TECHNOLOGY WAY, 210, LIBERTYVILLE, IL 60048-5364
(269) 267-7937
Mailing address
548 BANBURY RD, MUNDELEIN, IL 60060-1113
(269) 267-7937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012174
IL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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