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 100, 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) 646-5777, or through Kottman, William G. via phone (630) 646-3950.
Contact Information
Primary practice address
130 N Weber Rd Suite 100
Bolingbrook IL 60440-1564
Phone: (630) 646-5777
Fax: (630) 646-5729
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1962452912 |
---|---|
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962452912 | NPPES |
Illinois | Other | 9919630 | BCBS |
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