Organization
EDWARD HEALTH VENTURES
Active
Organization
EDWARD HEALTH VENTURES
Active
Other names
Edward Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. KOTTMAN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
2007 95TH ST, SUITE 105, NAPERVILLE, IL 60564-8459
(630) 646-6920
(630) 646-6925
Mailing address
27555 DIEHL RD, WARRENVILLE, IL 60555
(630) 646-3950
(630) 646-3797
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222385
BCBS
IL
Enumeration date
05/11/2006
Last updated
03/27/2009
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