EDWARD HEALTH VENTURES NPI 1831149889

NPI Information

NPI: 1831149889
Provider Name: EDWARD HEALTH VENTURES

Other Name: EDWARD MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
120 SPALDING DR
SUITE 303
NAPERVILLE, IL
ZIP 60540
Phone: (630) 527-5575
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EDWARD HEALTH VENTURES is a multi-specialty clinic center in Naperville, IL. EDWARD HEALTH VENTURES NPI is 1831149889. The provider is registered as an organization entity type.
The provider Other Name Is Edward Medical Group.

The provider's business location address is:

120 SPALDING DR
SUITE 303
NAPERVILLE, IL
ZIP 60540-508
Phone: (630) 527-5575
Fax: (630) 527-5573

The provider's authorized official is William G. Kottman .
The authorized official title is President and has the following contact phone number (630) 646-3950.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/27/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	399180	MEDICARE PIN	ILLINOIS
2	2221474	OTHER	ILLINOIS	BCBS
3	CC2969	MEDICARE PIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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