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Contact Information

AV360 LLC
2140 LAKE COOK RD
ALGONQUIN, IL60102-5447
 Phone: 224-333-0948
 Fax: 224-228-2822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for AV360 LLC · (Female)

NPI Number 1013515501
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2020
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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