Av360 LLC

NPI #1013515501 in Algonquin, Illinois

Provider Information

NPI Number: 1013515501
Entity Type: Organization
Organization Name: Av360 LLC
Primary Specialty: Health Educator
Enumeration Date: Oct 15, 2020
Last Updated: Jan 11, 2022

Practice Location

Address: 2140 LAKE COOK RD
City: Algonquin
State: Illinois
ZIP Code: 60102-5447
Phone: (224) 333-0948

Authorized Official

Name: BETSY KOSTKA
Title: DIRECTOR OF OPERATIONS
Phone: (224) 520-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Health Educator	174H00000X	Primary

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