Edward Health Ventures

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EDWARD HEALTH VENTURES

Practice address

3805 E Main St
Ste M
St Charles, IL 60174-2487

Phone

(630) 646-5200

Fax

(630) 646-5202

NPI assigned

Nov 29, 2006

Organization subpart

No

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) 646-3950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linden Oaks Medical group Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 10

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.

• Catherine C Camilleri, MD

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1699752204
  NPD
• Jennie R Hackman, APN-CNP

  • Nurse Practitioner
  • Plainfield, IL
  • NPI 1740816065
  NPD
• Gregory Jasinski, MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1164735403
  NPD
• Jennifer Susan Kenneavy, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1376814715
  NPD
• Elizabeth Podlasek, APN-CNP

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1699496752
  NPD
• Paul D. Regan, APN-CNP

  • Nurse Practitioner
  • Plainfield, IL
  • NPI 1629595053
  NPD
• Lekshmi R Venugopal, M.D.

  • Psychiatry Physician
  • St Charles, IL
  • NPI 1164682597
  NPD
• Michelle L. Verner, APN-CNP

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1912673336
  NPD
• Shyamsunder R Chakilum, M.D.

  • Child & Adolescent Psychiatry Physician
  • Merrillville, IN
  • NPI 1295706521
  NPD
• Jade Jones, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
  • NPI 1447771787

  Psychiatry

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1205903168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 DIEHL RD.",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-646-3950",
            "fax_number": "630-548-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E MAIN ST",
            "address_2": "STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742487",
            "telephone_number": "630-646-5200",
            "fax_number": "630-646-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-11-10",
        "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": "630-646-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linden Oaks Medical group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Earlogics Inc.
• Lexie Grace Eckenrod
• Ecker Center for Behavioral Health
• Ecker Center for Behavioral Health
• James Paul Edmonds, DDS
• Joyce Edwards, L.AC
• Annelise Ehrhardt, M.A., CCC-SLP
• Korren Eiden, RDN, LDN
• Elizabeth Einstein, RD, LD
• Jenna Elyse Eisses, PA-C

• Psychiatry Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.

Verify at the official NPI Registry.