| Edward Health Ventures | |
|
30 Danada Sq W Wheaton IL 60189-2000 | |
| (630) 527-3645 | |
| (630) 462-0305 |
| Full Name | Edward Health Ventures |
|---|---|
| Speciality | Clinic/center |
| Location | 30 Danada Sq W, Wheaton, Illinois |
| Authorized Official Name and Position | Bill Kottmann (PRESIDENT) |
| Authorized Official Contact | 6306463388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Health Ventures 30 Danada Sq W Wheaton IL 60189-2000 Ph: (630) 527-3645 | Edward Health Ventures 30 Danada Sq W Wheaton IL 60189-2000 Ph: (630) 527-3645 |
| NPI Number | 1376078774 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376078774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
| 363A00000X | Physician Assistant | (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Illinois) | Secondary |
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