| Edward Medical Group - Family Practice Crest Hill | |
|
16151 Weber Road Ste 201 Crest Hill IL 60403-0865 | |
| (815) 838-2888 | |
| (815) 838-0222 |
| Full Name | Edward Medical Group - Family Practice Crest Hill |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16151 Weber Road, Crest Hill, Illinois |
| Authorized Official Name and Position | William 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 - Family Practice Crest Hill 27555 Diehl Road Entrance B Warrenville IL 60555 Ph: (630) 646-3950 | Edward Medical Group - Family Practice Crest Hill 16151 Weber Road Ste 201 Crest Hill IL 60403-0865 Ph: (815) 838-2888 |
| NPI Number | 1821229006 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821229006 | NPI | - | NPPES |
| 9919630 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
Dr Ahsan And Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Willow Circle Dr, Crest Hill, IL 60403 Phone: 815-741-2525 Fax: 815-741-2522 | |
Ibsen Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-744-2344 | |
Mariusz Rogalski, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16001 Executive Dr, Crest Hill, IL 60403 Phone: 630-418-5050 | |
Rafael Perez-guerra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 | |
Alvi Medical Services Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 | |
Ibsen, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 |