Whalio Doctors

NPI 1013515501

Av360 LLC

Organisation Health Educator Algonquin, IL

Practice location

Address
2140 Lake Cook Rd, Algonquin, IL 60102-5447
Phone
(224) 333-0948
Fax
(224) 228-2822

Authorised official

Name
Betsy Kostka
Title
Director of Operations
Phone
(224) 520-0390

Registered specialties (3)

Health Educator Primary
Other Service Providers Taxonomy 174H00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1013515501
Entity type
Organization
NPI issued
15 Oct 2020
Record last updated
11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.