Edward Medical Group

LBN: Edward Health Ventures
Edward Medical Group is an health care organization with primary practice located at 1025 Ogden Ave , Lisle IL 60532-4388. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Edward Health Ventures can be contacted via phone (630) 515-1667, or through Kottman, William G. via phone (630) 646-3950.

Contact Information

Primary practice address
1025 Ogden Ave Lisle IL 60532-4388
Phone: (630) 515-1667
Fax: (630) 515-1825
Website:
Map and Directions
Authorized official contact:
Name: Kottman, William G.
Phone: (630) 646-3950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1174573109
LBN Legal business name Edward Health Ventures
DBA Doing business as Edward Medical Group
Authorized official Kottman, William G.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Mar 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174573109 NPPES
Illinois Other 2222543 BCBS

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