Individual
ALICIA CAPOTOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
390 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6202
(815) 355-1605
Mailing address
1714 MYRNA CT, SLEEPY HOLLOW, IL 60118-1909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041505209
IL
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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