NPIMap

Edward Health Ventures

Organization Active NPI Neurological Surgery Physician · Naperville, IL

NPI 1396976445 · NPPES record last updated Aug 6, 2009

Key facts

NPI
1396976445
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
EDWARD HEALTH VENTURES
Practice address
120 Spalding Dr
Ste 101
Naperville, IL 60540-6508
Phone
(630) 527-7730
Fax
(630) 527-7732
NPI assigned
Aug 6, 2009
Organization subpart
No

Authorized official

Name
Mr. Bill Kottman
Title
President
Phone
(630) 646-3950

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031216000616 IL Part B Supplier - Clinic/Group Practice 4284531484 Receives reassigned benefits from 656 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Locations

172 E Schiller St
Fl 1
Elmhurst, IL 60126
Phone (331) 221-2520

8 Salt Creek Ln
Ste 202
Hinsdale, IL 60521
Phone (331) 221-2505

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207T00000X Yes

Addresses

Primary practice location

120 Spalding Dr
Ste 101
Naperville, IL 60540-6508

Mailing address

27555 Diehl Rd
Entrance B
Warrenville, IL 60555-3849
Phone (630) 646-3950

Other names

  • Edward Neuroscience Institute Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2009.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1396976445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 DIEHL RD",
            "address_2": "ENTRANCE B",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553849",
            "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": "120 SPALDING DR",
            "address_2": "STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406508",
            "telephone_number": "630-527-7730",
            "fax_number": "630-527-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "KOTTMAN",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-646-3950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Neuroscience Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naperville, IL

All providers in Naperville, IL · Neurological Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.