Edward Medical Group - Family Practice Crest Hill

LBN: Edward Health Ventures
Edward Medical Group - Family Practice Crest Hill is an health care organization with primary practice located at 16151 Weber Road Ste 201, Crest Hill IL 60403-0865. 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 (815) 838-2888, or through Kottman, William via phone (630) 646-3950.

Contact Information

Primary practice address
16151 Weber Road Ste 201 Crest Hill IL 60403-0865
Phone: (815) 838-2888
Fax: (815) 838-0222
Website:
Map and Directions
Authorized official contact:
Name: Kottman, William
Phone: (630) 646-3950

Health care specialties

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

Profile Details

NPI number 1821229006
LBN Legal business name Edward Health Ventures
DBA Doing business as Edward Medical Group - Family Practice Crest Hill
Authorized official Kottman, William
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2009
Last updated Oct 1st, 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 1821229006 NPPES
Illinois Other 9919630 BCBS

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