Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BILL KOTTMAN (PRESIDENT)
(630) 646-3388
Entity
Organization
Contact information
Practice address
130 WEBER ROAD, STE 100, BOLINGBROOK, IL 60440-1519
(630) 646-5777
(630) 646-5729
Mailing address
130 WEBER ROAD, STE 100, BOLINGBROOK, IL 60440-1519
(630) 646-5777
(630) 646-5729
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
12/14/2015
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