# EDWARD HEALTH VENTURES

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

## Provider details

- **NPI number:** 1578513511
- **Authorized official:** MR. WILLIAM G. KOTTMAN (PRESIDENT)
- **Authorized official phone:** (630) 646-3388

## Contact information

- **Practice address:** 16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
- **Practice address phone:** (630) 646-5020
- **Practice address fax:** (630) 646-5025
- **Mailing address:** 120 OSLER, LOWER LEVEL, NAPERVILLE, IL 60540-7429
- **Mailing address phone:** (630) 646-3388
- **Mailing address fax:** (630) 548-6832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 12/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9933040 | BCBS | IL |