# EDWARD HEALTH VENTURES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edward Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396795316
- **Authorized official:** MR. WILLIAM G. KOTTMAN (PRESIDENT)
- **Authorized official phone:** (630) 646-3950

## Contact information

- **Practice address:** 130 N WEBER RD, SUITE 112, BOLINGBROOK, IL 60440-1564
- **Practice address phone:** (630) 378-3400
- **Practice address fax:** (630) 378-3440
- **Mailing address:** 27555 DIEHL RD, WARRENVILLE, IL 60555
- **Mailing address phone:** (630) 646-3950
- **Mailing address fax:** (630) 646-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/27/2009