EDWARD HEALTH VENTURES NPI 1821229006

NPI Information

NPI: 1821229006
Provider Name: EDWARD HEALTH VENTURES

Other Name: EDWARD MEDICAL GROUP - FAMILY PRACTICE CREST HILL

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

Specialization: Multi-Specialty

Address:
16151 WEBER ROAD
STE 201
CREST HILL, IL
ZIP 60403
Phone: (815) 838-2888
Get Directions

EDWARD HEALTH VENTURES is a multi-specialty clinic center in Crest Hill, IL. EDWARD HEALTH VENTURES NPI is 1821229006. The provider is registered as an organization entity type.
The provider Other Name Is Edward Medical Group - Family Practice Crest Hill.

The provider's business location address is:

16151 WEBER ROAD
STE 201
CREST HILL, IL
ZIP 60403-865
Phone: (815) 838-2888
Fax: (815) 838-0222

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

The CLIA number assigned to this NPI record is 14D0421139 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2009 and was last updated on 10/1/2009.

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		ILLINOIS	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	9919630	OTHER	ILLINOIS	BCBS
2	366700	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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »