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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220936 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1200 S York St
Ste 1120
Elmhurst, IL 60126
Phone (331) 221-6090
120 Osler
Lowr
Naperville, IL 60540
Phone (630) 527-5354
801 S Washington St
#3
Naperville, IL 60540
Phone (630) 527-5359
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2220936",
"state": "IL"
}
],
"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.