# EDWARD HEALTH VENTURES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376078774
- **Authorized official:** BILL KOTTMANN (PRESIDENT)
- **Authorized official phone:** (630) 646-3388

## Contact information

- **Practice address:** 30 DANADA SQ W, WHEATON, IL 60189-2000
- **Practice address phone:** (630) 527-3645
- **Practice address fax:** (630) 462-0305
- **Mailing address:** 30 DANADA SQ W, WHEATON, IL 60189-2000
- **Mailing address phone:** (630) 527-3645
- **Mailing address fax:** (630) 462-0305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |
| 363A00000X | Physician Assistant | — | IL | — |
| 363LF0000X | Family Nurse Practitioner | — | IL | — |

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 04/24/2017