EDWARD HEALTH VENTURES (NPI# 1821229006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821229006 |
| Entity Type | Organization |
| Organization Name | EDWARD HEALTH VENTURES |
| Other Organization Name | EDWARD MEDICAL GROUP - FAMILY PRACTICE CREST HILL |
| Practice Address |
16151 Weber Road Ste 201 Crest Hill IL 60403-0865 |
| Mailing Address |
27555 Diehl Road Entrance B Warrenville IL 60555 |
| Practice Telephone | 8158382888 |
| Practice Fax Number | 8158380222 |
| Mailing Telephone | 6306463950 |
| Mailing Fax Number | 6305486832 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | MR. WILLIAM KOTTMAN (PRESIDENT) |
| Authorized Official Telephone | 6306463950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 9919630 | 01 |
| Other Name | Type Code |
|---|---|
| Edward Medical Group - Family Practice Crest Hill | Other Name - Individual/Organization |
| 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 |
| 1376078774 | Edward Health Ventures | Physician Assistant | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2017-04-24 |
| 1427423185 | Edward Health Ventures | Clinic/Center | 801 S Washington St, Naperville, IL 60540-7430 | 2015-12-07 |
| Street Address |
16151 WEBER ROAD STE 201 |
| City | CREST HILL |
| State | IL |
| Zip Code | 60403-0865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417994013 | Bhavesh R Gandhi | Emergency Medicine | 16151 Weber Road, Suite 101, Crest Hill, IL 60403-0000 | 2006-06-01 |
| 1922115377 | Jean L. Walsh Family Practitioner, Ltd. | Family Medicine | 16151 Weber Road, Suite 201, Crest Hill, IL 60403-0863 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1982237137 | Jena L. Margis | Counselor | Crossroads Counseling and Care Center, 1520 N. Rock Run Drive, Suite #14, Crest Hill, IL 60403 | 2020-02-17 |
| 1457845109 | Rachael Wiktor | Physical Therapy Assistant | 16101 Weber Road, Crest Hill, IL 60403 | 2018-06-17 |
| 1346613718 | Christopher Michael Galloway | Nurse Practitioner | 20660 Caton Farm Road, Unit F, Crest Hill, IL 60403 | 2015-11-07 |
| 1861758278 | Evaristo Peralta Aguinaldo Jr. | General Practice | 16300 Illinois 53, Crest Hill, IL 60403 | 2012-04-10 |
| 1366735250 | Jennifer Beckman | Social Worker | 1000 Remington 16151 Weber Road, Suite 101, Cresthill, IL 60403 | 2011-05-25 |
| 1083911283 | Olufunmilola Ayankoya | Nurse Practitioner | 16830 Il-53, Crest Hill, IL 60403 | 2011-02-24 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1417105917 | Dolar R Koya Md Sc | Dermatology | 2215 Theodore St, Cresthill, IL 60403 | 2008-09-09 |
| Find all providers in zip 60403 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1689299257 | Precision Immediate Care and Medical Center, LLC | Clinic/Center | 3520 W North Ave, Stone Park, IL 60165-1042 | 2020-06-10 |
| 1013536663 | Katrina Lake Md LLC | Clinic/Center | 18503 Bellamy Rd, Country Club Hills, IL 60478-5279 | 2020-04-14 |
| 1558995779 | Signature Medical Clinic LLC | Clinic/Center | 2020 Dean St Ste G, St Charles, IL 60174-1665 | 2020-02-26 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | CREST HILL |
| Zip Code | 60403 |
Please comment or provide details below to improve the information on EDWARD HEALTH VENTURES.
| 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.