Organization
EDWARD HEALTH VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL KOTTMANN (PRESIDENT)
(630) 646-3950
Entity
Organization
Contact information
Practice address
20 S WEBER RD, ROMEOVILLE, IL 60446-4947
(630) 646-3950
(630) 548-6832
Mailing address
27555 DIEHL RD, ENTRANCE B, WARRENVILLE, IL 60555-3849
(630) 646-3950
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
363A00000X
Physician Assistant
—
IL
363LF0000X
Family Nurse Practitioner
—
IL
Other
Enumeration date
09/28/2012
Last updated
10/05/2012
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