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) 646-3388
Entity
Organization
Contact information
Practice address
120 SPALDING DR, SUITE 310, NAPERVILLE, IL 60540-6508
(630) 527-5000
(630) 527-5440
Mailing address
120 OSLER, LOWER LEVEL, NAPERVILLE, IL 60540-7429
(630) 646-3388
(630) 548-6832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221474
BCBS
IL
Enumeration date
05/11/2006
Last updated
12/14/2015
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