Edward Medical Group

LBN: Edward Health Ventures
Edward Medical Group is an health care organization with primary practice located at 130 N Weber Rd Suite 112, Bolingbrook IL 60440-1564. 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) 378-3400, or through Kottman, William G. via phone (630) 646-3950.

Contact Information

Primary practice address
130 N Weber Rd Suite 112 Bolingbrook IL 60440-1564
Phone: (630) 378-3400
Fax: (630) 378-3440
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 1396795316
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 16 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 1396795316 NPPES
Illinois Other 9919630 BCBS

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