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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