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
10 MARTIN AVE, STE 225, NAPERVILLE, IL 60540-6535
(630) 355-5633
(630) 355-5215
Mailing address
27555 DIEHL RD, ENTRANCE B, WARRENVILLE, IL 60555-3849
(630) 646-3950
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
261Q00000X
Clinic/Center
—
IL
Other
Enumeration date
11/15/2013
Last updated
12/09/2013
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