NPI 1013515501
Av360 LLC
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
Case Management Agency
Community/Behavioral Health Agency
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.