Edward Health Ventures

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EDWARD HEALTH VENTURES

Practice address

120 Spalding Drive
Suite 408
Naperville, IL 60540

Phone

(630) 630-5275

Fax

(630) 527-5488

NPI assigned

May 12, 2006

Last updated

Mar 30, 2009By 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) 646-3950

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

Practitioners 19

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.

• Michael J Martin, M.D.

  • Psychiatry Physician
  • Plainfield, IL
  • NPI 1962415513
  NPD
• Susan E Ahmari, MD

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1356328058
  NPD (past)
• Nancy Elizabeth Bryan, D.O.

  • Internal Medicine Physician
  • Plainfield, IL
  • NPI 1316064272
  NPD (past)
• Vija Bublys, M.D.

  • Pediatrics Physician
  • Naperville, IL
  • NPI 1104875681
  NPD (past)
• Catherine C Camilleri, MD

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1699752204
  NPD (past)
• Ronald J Glas, MD

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1720075484
  NPD (past)
• Kelli Marie Keller, MD

  • Psychiatry Physician
  • Plainfield, IL
  • NPI 1730207820
  NPD (past)
• Janice L Kowalski, M.D.

  • Child & Adolescent Psychiatry Physician
  • Naperville, IL
  • NPI 1992980379
  NPD (past)
• Payal Shah Patel, D.O.

  • Pediatrics Physician
  • Lemont, IL
  • NPI 1497918361
  NPD (past)
• Lisa C Pellegrini, M.D.

  • Neurology Physician
  • Naperville, IL
  • NPI 1801849161

  Psychiatry

  NPD (past)
• Tanya Pitroda, M.D.

  • Hospitalist Physician
  • Naperville, IL
  • NPI 1245491034
  NPD (past)
• Barry E Rabin, MD

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1275562779
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1568413995",
    "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": "630-646-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPALDING DRIVE",
            "address_2": "SUITE 408",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-630-5275",
            "fax_number": "630-527-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-03-30",
        "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": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linden Oaks Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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
• Edward Health Ventures

• Psychiatry Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.