Active NPI
Alicia Capotosto
- Registered Nurse
- Crystal Lake, IL
National Provider Identifier
1386503746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041505209
- Practice address
- 390 E Congress Pkwy
Crystal Lake, IL 60014-6202 - Phone
- (815) 355-1605
- NPI assigned
- Jan 20, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041505209 | IL | Primary |
Addresses
Primary practice location
390 E Congress Pkwy
Crystal Lake, IL 60014-6202
Mailing address
1714 Myrna CT
Sleepy Hollow, IL 60118-1909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041505209 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1386503746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 MYRNA CT",
"city": "SLEEPY HOLLOW",
"state": "IL",
"postal_code": "601181909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E CONGRESS PKWY",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146202",
"telephone_number": "815-355-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOTOSTO",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-20",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041505209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.