| Edward Medical Group | |
|
130 N Weber Rd Suite 112 Bolingbrook IL 60440-1564 | |
| (630) 378-3400 | |
| (630) 378-3440 |
| Full Name | Edward Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 130 N Weber Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | William G. Kottman (PRESIDENT) |
| Authorized Official Contact | 6306463950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Medical Group 27555 Diehl Rd Warrenville IL 60555 Ph: (630) 646-3950 | Edward Medical Group 130 N Weber Rd Suite 112 Bolingbrook IL 60440-1564 Ph: (630) 378-3400 |
| NPI Number | 1396795316 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396795316 | NPI | - | NPPES |
| 9919630 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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