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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3388
Entity
Organization
Contact information
Practice address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Mailing address
120 OSLER, LOWER LEVEL, NAPERVILLE, IL 60540-7429
(630) 646-3388
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9933040
BCBS
IL
Enumeration date
05/11/2006
Last updated
12/14/2015
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