Edward Health Ventures

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDWARD HEALTH VENTURES

Practice address

1828 Bay Scott Cir
Ste 112
Naperville, IL 60540-1110

Phone

(630) 420-1500

Fax

(630) 420-9895

NPI assigned

Apr 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bill Kottmann

Title

President

Phone

(630) 646-3950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Anne Schneider, D.O.

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1992972988

  Family Medicine

  NPD (past)
• James Andjelic, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1861871717
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1699193003",
    "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": "1828 BAY SCOTT CIR",
            "address_2": "STE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401110",
            "telephone_number": "630-420-1500",
            "fax_number": "630-420-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "KOTTMANN",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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

• All providers in Naperville, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.