| Edward Medical Group | |
|
6701 Us Highway 34 Oswego IL 60543-9129 | |
| (630) 646-4255 | |
| (630) 646-4256 |
| Full Name | Edward Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 6701 Us Highway 34, Oswego, 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 6701 Us Highway 34 Oswego IL 60543-9129 Ph: (630) 646-4255 | Edward Medical Group 6701 Us Highway 34 Oswego IL 60543-9129 Ph: (630) 646-4255 |
| NPI Number | 1255501029 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255501029 | NPI | - | NPPES |
| 2221474 | Other | IL | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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