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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3388
Entity
Organization
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3000
Mailing address
120 OSLER, LOWER LEVEL, NAPERVILLE, IL 60540-7429
(630) 646-3388
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
103TC0700X
Clinical Psychologist
—
IL
1041C0700X
Clinical Social Worker
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IL
207Q00000X
Family Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
207RH0003X
Hematology & Oncology Physician
—
IL
207RR0500X
Rheumatology Physician
—
IL
207V00000X
Obstetrics & Gynecology Physician
—
IL
208200000X
Plastic Surgery Physician
—
IL
2084N0400X
Neurology Physician
—
IL
2084P0800X
Psychiatry Physician
—
IL
208600000X
Surgery Physician
—
IL
363A00000X
Physician Assistant
—
IL
363L00000X
Nurse Practitioner
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2220936
BCBS
IL
Enumeration date
05/11/2006
Last updated
07/21/2016
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