Carl A. Nottoli, PC
Chiropractor in Libertyville, IL. Organization (NPI-2).
NPI number1316342124
StatusActive
Last updated in NPPESOct 23, 2014
Details
- NPI
- 1316342124
- Entity type
- Organization (NPI-2)
- Legal business name
- Carl A. Nottoli, PC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2014
- Last updated
- Oct 23, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038012174 | IL | Yes |
Other names
- Functional Spine And Sport (Doing Business As)
Practice location
900 Technology Way210
Libertyville, IL 60048-5364
Phone 269-267-7937
Mailing address
548 Banbury RdMundelein, IL 60060-1113
Phone 269-267-7937
Authorized official
Carl Anthony Nottoli
President
2692677937
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