Active NPI
Edward Health Ventures
- Psychiatry Physician
- Naperville, IL
National Provider Identifier
1992862114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- EDWARD HEALTH VENTURES
- Practice address
- 1220 Hobson Rd
Suite 216
Naperville, IL 60540-8138 - Phone
- (630) 646-5677
- Fax
- (630) 646-5665
- NPI assigned
- Jan 3, 2007
- Last updated
- Mar 30, 2009
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1220 Hobson Rd
Suite 216
Naperville, IL 60540-8138
Mailing address
27555 Diehl Rd.
Warrenville, IL 60555
Phone (630) 646-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220936 | Other | IL | BCBS |
Other names 1
- Linden Oaks Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 20
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.
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-
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-
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-
- Child & Adolescent Psychiatry Physician
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- Hospitalist Physician
- Naperville, IL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1992862114",
"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": "630-548-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 HOBSON RD",
"address_2": "SUITE 216",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408138",
"telephone_number": "630-646-5677",
"fax_number": "630-646-5665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD HEALTH VENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"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 Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- 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.