Edward Health Ventures

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDWARD HEALTH VENTURES

Doing business as

Edward Medical Group

Practice address

1220 Hobson Rd
Suite 104
Naperville, IL 60540-8137

Phone

(630) 416-1950

Fax

(630) 646-5610

NPI assigned

May 11, 2006

Last updated

Dec 14, 2015By the provider in NPPES

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) 646-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edward Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 12

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.

• David Avina, P.A.

  • Physician Assistant
  • Elmhurst, IL
  • NPI 1730569807
  NPD
• Phamela B. De Guzman, MD

  • Family Medicine Physician
  • Plainfield, IL
  • NPI 1568674844
  NPD
• Godwin Roy Esquillo Flores, FNP-C

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1366095333
  NPD
• Rebecca Harty, APN-BC

  • Emergency Medicine Physician
  • Melrose Park, IL
  • NPI 1518472463
  NPD
• Kristin P Hoge, PA-C

  • Physician Assistant
  • Addison, IL
  • NPI 1659689040
  NPD
• Alla Jusufi, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1609496850
  NPD
• Jyoti Kanda, APN-CNP

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1912544180
  NPD
• Angela June Kostner, APN-CNP

  • Nurse Practitioner
  • Diamond, IL
  • NPI 1023406980
  NPD
• Cara A. Martinez, APN-CNP

  • Nurse Practitioner
  • Addison, IL
  • NPI 1346722535
  NPD
• Hiam H. Eldewek, D.O.

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1639128309
  NPD (past)
• Patrick J Odonnell, MD

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1831186964
  NPD (past)
• Edyta Straczynski, M.D.

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1558396085
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1376593327",
    "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": "1220 HOBSON RD",
            "address_2": "SUITE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408137",
            "telephone_number": "630-416-1950",
            "fax_number": "630-646-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-12-14",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2221820",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Health Ventures (Edward Medical Group)
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures
• Edward Health Ventures

• Family Medicine Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.