Individual
DR. CARL A NOTTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2101 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1836
(269) 267-7937
(847) 236-1195
Mailing address
2101 WAUKEGAN RD, SUITE 100, BANNOCKBURN, IL 60015-1836
(269) 267-7937
(847) 236-1195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012174
IL
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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