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Organization

EDWARD HEALTH VENTURES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILL KOTTMANN (PRESIDENT)
(630) 646-3950
Entity
Organization

Contact information

Practice address
1200 S YORK ST, STE 3160, ELMHURST, IL 60126-5626
(331) 221-9090
Mailing address
27555 DIEHL RD, ENTRANCE B, WARRENVILLE, IL 60555-3849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
IL
207R00000X
Internal Medicine Physician
IL
2084N0400X
Neurology Physician
IL
261Q00000X
Clinic/Center
Primary
IL
363A00000X
Physician Assistant
IL
363LF0000X
Family Nurse Practitioner
IL

Other

Enumeration date
11/14/2013
Last updated
08/13/2014
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