# EDWARD HEALTH VENTURES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edward Medical Group - Family Practice Crest Hill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821229006
- **Authorized official:** MR. WILLIAM KOTTMAN (PRESIDENT)
- **Authorized official phone:** (630) 646-3950

## Contact information

- **Practice address:** 16151 WEBER ROAD, STE 201, CREST HILL, IL 60403-0865
- **Practice address phone:** (815) 838-2888
- **Practice address fax:** (815) 838-0222
- **Mailing address:** 27555 DIEHL ROAD, ENTRANCE B, WARRENVILLE, IL 60555
- **Mailing address phone:** (630) 646-3950
- **Mailing address fax:** (630) 548-6832

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 10/01/2009