Active NPI
Edward Health Ventures
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EDWARD HEALTH VENTURES
- Practice address
- 130 N Weber Rd
Suite 100
Bolingbrook, IL 60440-1564 - Phone
- (630) 646-5777
- Fax
- (630) 646-5729
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
130 N Weber Rd
Suite 100
Bolingbrook, IL 60440-1564
Mailing address
27555 Diehl Rd
Warrenville, IL 60555
Phone (630) 646-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9919630 | Other | IL | BCBS |
Other names 1
- Edward Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031216000616 | IL | Part B Supplier - Clinic/Group Practice | 4284531484 | Receives reassigned benefits from 656 practitioners |
National Provider Directory
National Provider DirectoryLocations
1127 S York Rd
Bensenville, IL 60106
Phone (630) 238-0181
130 N Weber Rd
Ste 112
Bolingbrook, IL 60440
Phone (630) 378-3400
16151 Weber Rd
Crest Hill, IL 60403
Phone (815) 733-5490
363 N York St
Elmhurst, IL 60126
Phone (630) 279-8200
3033 Ogden Ave
Ste 300
Lisle, IL 60532
Phone (630) 717-5700
9697 191st St
Ste 100
Mokena, IL 60448
Phone (630) 646-6540
100 Spalding Dr
Ste 204
Naperville, IL 60540
Phone (630) 357-8555
1247 Rickert Dr
Ste 201
Naperville, IL 60540
Phone (630) 357-7979
2132 Deep Water Ln
Ste 228
Naperville, IL 60564
Phone (630) 922-1400
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
720 Brom Ct
Ste 203
Naperville, IL 60540
Phone (630) 357-7979
120 Spalding Dr
Ste 111
Naperville, IL 60540
Phone (630) 527-3788
1828 Bay Scott Cir
Ste 112
Naperville, IL 60540
Phone (630) 357-4463
1250 N Mill St
Ste 101
Naperville, IL 60563
Phone (630) 473-3971
932 Lake St
Ste 301
Oak Park, IL 60301
Phone (708) 386-2400
24600 W 127th St
Bldg A2ND
Plainfield, IL 60585
Phone (815) 731-9190
7525 Lake St
River Forest, IL 60305
Phone (331) 221-2815
20 S Weber Rd
Romeoville, IL 60446
Phone (815) 293-0858
1120 E Main St
St Charles, IL 60174
Phone (630) 377-6613
4 E Ogden Ave
Westmont, IL 60559
Phone (331) 221-2810
30 Danada Sq W
Wheaton, IL 60189
Phone (630) 668-1211
88 W Countryside Pkwy
Ste D
Yorkville, IL 60560
Phone (630) 352-3700
110 E Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-1600
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Linden Oaks at Edward | Hospital | General Partnership Interest (99%) | Sep 1, 1999 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital
- Naperville, IL
- NPI 1619910460
General Partnership Interest
Practitioners & affiliated clinicians
Practitioners 690
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Woodridge, IL
- NPI 1629497045
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238112000000",
"number": "1962452912",
"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": "130 N WEBER RD",
"address_2": "SUITE 100",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401564",
"telephone_number": "630-646-5777",
"fax_number": "630-646-5729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD HEALTH VENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2009-03-27",
"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": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9919630",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Edward Medical Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.