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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
6701 US HIGHWAY 34, OSWEGO, IL 60543-9129
(630) 646-4255
(630) 646-4256
Mailing address
6701 US HIGHWAY 34, OSWEGO, IL 60543-9129
(630) 646-4255
(630) 646-4256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221474
BCBS OF ILLINOIS
IL
Enumeration date
03/07/2008
Last updated
03/27/2009
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