Organization
EDWARD HEALTH VENTURES
Active
Other names
Linden Oaks Medical group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
3805 E MAIN ST, STE M, ST CHARLES, IL 60174-2487
(630) 646-5200
(630) 646-5202
Mailing address
27555 DIEHL RD., WARRENVILLE, IL 60555
(630) 646-3950
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2220936
BCBS
—
Enumeration date
11/29/2006
Last updated
11/10/2010
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