EDWARD HEALTH VENTURES NPI 1396795316

NPI Information

EDWARD HEALTH VENTURES is a multi-specialty clinic center in Bolingbrook, IL. EDWARD HEALTH VENTURES NPI is 1396795316. The provider is registered as an organization entity type.
The provider Other Name Is Edward Medical Group.

The provider's business location address is:

130 N WEBER RD
SUITE 112
BOLINGBROOK, IL
ZIP 60440-564
Phone: (630) 378-3400
Fax: (630) 378-3440

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:

Other Identifiers

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