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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group - Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(630) 646-5020
(630) 646-5025
Mailing address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(630) 646-5020
(630) 646-5025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
02/11/2010
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