Active NPI
Edward Health Ventures
- Family Medicine Physician
- Naperville, IL
National Provider Identifier
1154371185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EDWARD HEALTH VENTURES
- Practice address
- 801 S Washington St
Naperville, IL 60540-7430 - Phone
- (630) 527-3000
- NPI assigned
- May 11, 2006
- Last updated
- Jul 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William G. Kottman
- Title
- President
- Phone
- (630) 646-3388
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | ||
| Clinical Psychologist | 103TC0700X | IL | ||
| Clinical Social Worker | 1041C0700X | IL | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | IL | ||
| Family Medicine Physician | 207Q00000X | IL | Primary | |
| Internal Medicine Physician | 207R00000X | IL | ||
| Hematology & Oncology Physician | 207RH0003X | IL | ||
| Rheumatology Physician | 207RR0500X | IL | ||
| Obstetrics & Gynecology Physician | 207V00000X | IL | ||
| Plastic Surgery Physician | 208200000X | IL | ||
| Neurology Physician | 2084N0400X | IL | ||
| Psychiatry Physician | 2084P0800X | IL | ||
| Surgery Physician | 208600000X | IL | ||
| Physician Assistant | 363A00000X | IL | ||
| Nurse Practitioner | 363L00000X | IL |
Addresses
Primary practice location
801 S Washington St
Naperville, IL 60540-7430
Mailing address
120 Osler
Lower Level
Naperville, IL 60540-7429
Phone (630) 646-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
954 W State St
Sycamore, IL 60178
Phone (815) 895-9144
3540 Seven Bridges Dr
Ste 230
Woodridge, IL 60517
Phone (630) 964-9400
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Oak Park, IL
- NPI 1124035944
-
- Psychiatry Physician
- Woodridge, IL
- NPI 1356328058
-
- Family Medicine Physician
- Naperville, IL
- NPI 1023400728
-
- Family Health Clinical Nurse Specialist
- Elmhurst, IL
- NPI 1265475768
-
- Adult Health Nurse Practitioner
- Naperville, IL
- NPI 1770844060
-
- Pulmonary Disease Physician
- Westmont, IL
- NPI 1942309125
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Naperville, IL
- NPI 1437314630
-
- Obstetrics & Gynecology Physician
- Oak Park, IL
- NPI 1841300464
-
- Surgical Physician Assistant
- Warrenville, IL
- NPI 1396077970
-
- Pulmonary Disease Physician
- Elmhurst, IL
- NPI 1225262934
-
- Nurse Practitioner
- Orland Park, IL
- NPI 1760436109
-
- Obstetrics & Gynecology Physician
- Oak Park, IL
- NPI 1629085444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1154371185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 OSLER",
"address_2": "LOWER LEVEL",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407429",
"telephone_number": "630-646-3388",
"fax_number": "630-548-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD HEALTH VENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "KOTTMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-646-3388",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.