Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Hematology Oncology Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
76 WEST COUNTRYSIDE PARKWAY, YORKVILLE, IL 60560
(630) 553-4992
(630) 553-3988
Mailing address
27555 DIEHL RD., WARRENVILLE, IL 60555
(630) 646-3950
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221474
BCBS
IL
Enumeration date
03/20/2007
Last updated
03/30/2009
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