EDWARD HEALTH VENTURES (NPI# 1962452912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962452912 |
| Entity Type | Organization |
| Organization Name | EDWARD HEALTH VENTURES |
| Other Organization Name | EDWARD MEDICAL GROUP |
| Practice Address |
130 N Weber Rd Suite 100 Bolingbrook IL 60440-1564 |
| Mailing Address |
27555 Diehl Rd Warrenville IL 60555 |
| Practice Telephone | 6306465777 |
| Practice Fax Number | 6306465729 |
| Mailing Telephone | 6306463950 |
| Mailing Fax Number | 6306463797 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | MR. WILLIAM G. 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 9919630 | 01 |
| Other Name | Type Code |
|---|---|
| Edward Medical Group | 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 |
130 N WEBER RD SUITE 100 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671818 | Tayfun M Ozgen | Family Medicine | 130 N Weber Rd, Ste 112, Bolingbrook, IL 60440-1519 | 2005-10-04 |
| 1558711580 | Katherine Joy O'donnell | Counselor | 130 N Weber Rd, Suite 200, Bolingbrook, IL 60440-1518 | 2016-06-21 |
| 1114283215 | Riddhi Pakrasi | Internal Medicine | 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440-1518 | 2012-04-03 |
| 1881910719 | Edward Hospital Imaging Center Bolingbrook | Clinic/Center | 130 N Weber Rd, Bolingbrook, IL 60440-1518 | 2010-04-16 |
| 1295965945 | Lindsey Ann Lynch | Physician Assistant | 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440-1518 | 2009-07-15 |
| 1982847810 | Mydhili Nandanan Moorthie | Family Medicine | 130 N Weber Rd, Bolingbrook, IL 60440-1518 | 2009-04-08 |
| 1376790071 | Gregory W Goska | Internal Medicine | 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440-1518 | 2008-08-25 |
| 1174728430 | Mark D Gomez | Internal Medicine | 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 | 2007-06-18 |
| 1295937464 | Kinjal U. Shah | Internal Medicine | 130 N Weber Rd, Ste 100, Bolingbrook, IL 60440-1518 | 2007-06-01 |
| 1932248424 | Elizabeth Semkiu | Family Medicine | 130 N Weber Rd, Bolingbrook, IL 60440-1518 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356632657 | Edward Health Ventures | Clinic/Center | 130 Weber Road, Ste 100, Bolingbrook, IL 60440-1519 | 2011-04-21 |
| 1265565444 | Midwest Hyperbaric Institute, P.C. | Clinic/Center | 391 Quadrangle Dr, Suite S-1, Bolingbrook, IL 60440-3442 | 2007-03-14 |
| 1396795316 | Edward Health Ventures | Clinic/Center | 130 N Weber Rd, Suite 112, Bolingbrook, IL 60440-1564 | 2006-05-11 |
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| 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 | BOLINGBROOK |
| Zip Code | 60440 |
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.