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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL KOTTMANN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
1200 S YORK ST, STE 3160, ELMHURST, IL 60126-5626
(331) 221-9090
Mailing address
27555 DIEHL RD, ENTRANCE B, WARRENVILLE, IL 60555-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IL
2084N0400X
Neurology Physician
—
IL
261Q00000X
Clinic/Center
Primary
—
IL
363A00000X
Physician Assistant
—
IL
363LF0000X
Family Nurse Practitioner
—
IL
Other
Enumeration date
11/14/2013
Last updated
08/13/2014
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