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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL KOTTMANN (PRESIDENT)
(630) 646-3388
Entity
Organization
Contact information
Practice address
30 DANADA SQ W, WHEATON, IL 60189-2000
(630) 527-3645
(630) 462-0305
Mailing address
30 DANADA SQ W, WHEATON, IL 60189-2000
(630) 527-3645
(630) 462-0305
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
363A00000X
Physician Assistant
—
IL
363LF0000X
Family Nurse Practitioner
—
IL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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