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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
24600 W. 127TH ST, BLDG A, 2ND FLOOR, PLAINFIELD, IL 60585-9508
(815) 731-9190
(815) 731-9191
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
01
366700
MEDICARE GROUP NUMBER
IL
Enumeration date
03/21/2007
Last updated
09/03/2009
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