Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Pediatric Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540
(630) 527-5197
Mailing address
27555 DIEHL RD, WARRENVILLE, IL 60555-3849
(630) 646-3950
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2220936
BCBS
IL
Enumeration date
05/12/2006
Last updated
04/10/2009
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