Provider Demographics
NPI:1649014374
Name:AMERICAN VENTURES, LTD.
Entity type:Organization
Organization Name:AMERICAN VENTURES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VASILATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-309-7691
Mailing Address - Street 1:6430 N ARTESIAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5191
Mailing Address - Country:US
Mailing Address - Phone:323-309-7691
Mailing Address - Fax:
Practice Address - Street 1:6430 N ARTESIAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-5191
Practice Address - Country:US
Practice Address - Phone:323-309-7691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies