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EDWARD HEALTH VENTURES NPI 1154666766


NPI Information

NPI: 1154666766
Provider Name: EDWARD HEALTH VENTURES

Doing Business As: EDWARD MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2253177

Address:
1999 SPRINGBROOK SQUARE DR
STE 101
NAPERVILLE, IL
ZIP 60564
Phone: (630) 305-3025
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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 1154666766. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Edward Medical Group.

The provider's business location address is:

1999 SPRINGBROOK SQUARE DR
STE 101
NAPERVILLE, IL
ZIP 60564-946
Phone: (630) 305-3025
Fax: (630) 995-3876

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

The CLIA number assigned to this NPI record is 14D2253177 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 12/11/2015.


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
1207Q00000XFamily MedicineILLINOISYes

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

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