Vitality Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011651 Issued in IL

Legal business name

VITALITY CHIROPRACTIC CENTER LLC

Practice address

768 Shoreline Dr
Aurora, IL 60504-6192

Phone

(563) 340-1552

NPI assigned

Aug 26, 2010

Organization subpart

No

Name

Dr. Paul Nottoli, D.C.

Title

Owner

Phone

(563) 340-1552

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2010.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1124334214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 BAYHEAD CT",
            "address_2": "APT. 2C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045081",
            "telephone_number": "563-340-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 SHORELINE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046192",
            "telephone_number": "563-340-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "NOTTOLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-340-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.