Edward Health Ventures

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

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

Last updated

Mar 27, 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 names 1

• Edward Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Naperville Psychiatric Ventures

  dba Endeavor Health Linden Oaks Hospital

  • Psychiatric Hospital
  • Naperville, IL
  • NPI 1619910460

  General Partnership Interest

  CMS ownership

Practitioners 690

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.

• Jon P Aagaard, MD

  • Family Medicine Physician
  • Wheaton, IL
  • NPI 1750496923
  Medicare reassignment NPD
• Ramez Nader Abdalla, M.B., B. CH

  • Neuroradiology Physician
  • Chicago, IL
  • NPI 1407410392
  Medicare reassignment NPD
• George Antoine Aghia, M.D.

  • Family Medicine Physician
  • Crest Hill, IL
  • NPI 1811218142
  Medicare reassignment NPD
• David J Aguiar, MD

  • Obstetrics & Gynecology Physician
  • Naperville, IL
  • NPI 1679660229
  Medicare reassignment NPD
• Yumna Ahmad, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1952938284
  Medicare reassignment NPD
• Susan E Ahmari, MD

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1356328058
  Medicare reassignment NPD
• Shahid M. Ahsan, M.D.

  • Pulmonary Disease Physician
  • Naperville, IL
  • NPI 1740208180
  Medicare reassignment NPD
• Zahab Shahid Ahsan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Woodridge, IL
  • NPI 1629497045
  Medicare reassignment NPD
• Faisal Akbari, M.D

  • Hospitalist Physician
  • Naperville, IL
  • NPI 1740598705
  Medicare reassignment NPD
• Michael Alagna, FNP-BC

  • Family Nurse Practitioner
  • Olympia Fields, IL
  • NPI 1508301656
  Medicare reassignment NPD
• Michelle Albovias, M.D.

  • Obstetrics & Gynecology Physician
  • Elmhurst, IL
  • NPI 1093798662
  Medicare reassignment NPD
• Ghassan Aldurra, MD

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1699781310
  Medicare reassignment NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tony A Edeh
• Anahid Edjlali, RDN
• Edward Health Ventures (Edward Medical Group)
• Edward Health Ventures
• Edward Health Ventures
• Edward Hospital
• Edward Hospital Imaging Center Bolingbrook
• Edwards Messaging and Transporation Inc
• Alexander Allan Edwards, PA-C
• Naomi Uvbi Romo Egharevba, PHARMD

• Multi-Specialty Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• 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.

Verify at the official NPI Registry.