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Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL KOTTMANN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
88 W COUNTRYSIDE PKWY, SUITE D, YORKVILLE, IL 60560-2056
(630) 646-3388
Mailing address
88 W COUNTRYSIDE PKWY, SUITE D, YORKVILLE, IL 60560-2056
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
363A00000X
Physician Assistant
—
IL
363LF0000X
Family Nurse Practitioner
—
IL
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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