EDWARD HEALTH VENTURES (NPI# 1376078774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376078774 |
Entity Type | Organization |
Organization Name | EDWARD HEALTH VENTURES |
Practice Address |
30 Danada Sq W Wheaton IL 60189-2000 |
Practice Telephone | 6305273645 |
Practice Fax Number | 6304620305 |
Mailing Telephone | 6305273645 |
Mailing Fax Number | 6304620305 |
Enumeration Date | 2017-04-24 |
Last Update Date | 2017-04-24 |
Authorized Official Name | BILL KOTTMANN (PRESIDENT) |
Authorized Official Telephone | 6306463388 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871977892 | Edward Health Ventures | Internal Medicine | 2308 N Route 59, Naperville, IL 60563-2061 | 2015-07-20 |
1356632657 | Edward Health Ventures | Clinic/Center | 130 Weber Road, Ste 100, Bolingbrook, IL 60440-1519 | 2011-04-21 |
1518298629 | Edward Health Ventures | Family Medicine | 15905 S Frederick St Ste 105, Plainfield, IL 60586-2212 | 2010-01-29 |
1669707014 | Edward Health Ventures | Psychiatry & Neurology | 110 East Countryside Parkway, Suite C, Yorkville, IL 60560-1814 | 2009-10-02 |
1720267008 | Edward Health Ventures | Clinic/Center | 2007 95th St., Suite 112, Naperville, IL 60564 | 2007-11-02 |
1205903168 | Edward Health Ventures | Psychiatry & Neurology | 3805 E Main St, Ste M, St Charles, IL 60174-2487 | 2006-11-29 |
1174573109 | Edward Health Ventures | Clinic/Center | 1025 Ogden Ave, Lisle, IL 60532-4388 | 2006-05-11 |
1578513511 | Edward Health Ventures | Family Medicine | 16519 S Route 59, Plainfield, IL 60586-2606 | 2006-05-11 |
1427423185 | Edward Health Ventures | Clinic/Center | 801 S Washington St, Naperville, IL 60540-7430 | 2015-12-07 |
1275903494 | Edward Health Ventures | Clinic/Center | 4 E Ogden Ave, Westmont, IL 60559-3506 | 2015-09-30 |
Street Address |
30 DANADA SQ W |
City | WHEATON |
State | IL |
Zip Code | 60189-2000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356397277 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 30 Danada Sq W, Wheaton, IL 60189 | 2006-05-25 |
1255876116 | Majlinda Dervishi | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2017-01-03 |
1497104285 | Shilpa Patel | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-06-13 |
1235587999 | Jamila Bagash | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-06-02 |
1760830939 | Alkaben Dwijen Amin | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-05-29 |
1568810828 | Norman C Sheehan | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-05-27 |
1043667454 | Ellen Vavra | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-05-17 |
1033566450 | Nimisha Patel | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2016-05-16 |
1164778064 | Kristyn B Foust | Pharmacist | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2012-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
Find all providers in zip 60189 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866410 | New Day Wellness Center, LLC | Clinic/Center | 600 S County Farm Rd Ste 204, Wheaton, IL 60187-4575 | 2017-12-12 |
1992906069 | First Chiropractic LLC | Clinic/Center | 11302 Veirs Mill Road, Wheaton, MD 20902-2557 | 2007-05-29 |
1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
1326357500 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
1609185875 | Avanti Medical Group of Illinois LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
1720238587 | Eric A. Oristian, Md, P C | Clinic/Center | 2730 University Blvd W, Ste 216, Wheaton, MD 20902-1905 | 2008-09-29 |
1295981264 | B E Williamson Dc PC | Clinic/Center | 100 W Roosevelt Rd, Suite A4-104, Wheaton, IL 60187-5260 | 2008-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.