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EDWARD HEALTH VENTURES NPI 1154371185


NPI Information

NPI: 1154371185
Provider Name: EDWARD HEALTH VENTURES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
801 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540
Phone: (630) 527-3000
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EDWARD HEALTH VENTURES is a family medicine in Naperville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDWARD HEALTH VENTURES NPI is 1154371185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540-430
Phone: (630) 527-3000

The provider's authorized official is William G. Kottman .
The authorized official title is President and has the following contact phone number (630) 646-3388.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineILLINOISNo
2207RR0500XInternal MedicineRheumatologyILLINOISNo
3207V00000XObstetrics & GynecologyILLINOISNo
4208200000XPlastic SurgeryILLINOISNo
5208600000XSurgeryILLINOISNo
62084P0800XPsychiatry & NeurologyPsychiatryILLINOISNo
72084N0400XPsychiatry & NeurologyNeurologyILLINOISNo
8207LP2900XAnesthesiologyPain MedicineILLINOISNo
9207RH0003XInternal MedicineHematology & OncologyILLINOISNo
101041C0700XSocial WorkerClinicalILLINOISNo
11103TC0700XPsychologistClinicalILLINOISNo
12101YP2500XCounselorProfessionalILLINOISNo
13363A00000XPhysician AssistantILLINOISNo
14363L00000XNurse PractitionerILLINOISNo
15207Q00000XFamily MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CC2969MEDICARE PINILLINOIS
22220936OTHERILLINOISBCBS
3370340MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.