Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3388
Entity
Organization
Contact information
Practice address
24600 W 127TH ST, STE B100, PLAINFIELD, IL 60585-9511
(815) 731-9000
(815) 731-9001
Mailing address
120 OSLER, LOWER LEVEL, NAPERVILLE, IL 60540-7429
(630) 646-3388
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9919630
BCBS
IL
Enumeration date
10/17/2006
Last updated
12/14/2015
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