EDWARD HEALTH VENTURES (NPI# 1205903168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205903168 |
| Entity Type | Organization |
| Organization Name | EDWARD HEALTH VENTURES |
| Other Organization Name | LINDEN OAKS MEDICAL GROUP |
| Practice Address |
3805 E Main St Ste M St Charles IL 60174-2487 |
| Mailing Address |
27555 Diehl Rd. Warrenville IL 60555 |
| Practice Telephone | 6306465200 |
| Practice Fax Number | 6306465202 |
| Mailing Telephone | 6306463950 |
| Mailing Fax Number | 6305486832 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MR. WILLIAM G KOTTMAN (PRESIDENT) |
| Authorized Official Telephone | 6306463950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 2220936 | 01 |
| Other Name | Type Code |
|---|---|
| Linden Oaks Medical group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871977892 | Edward Health Ventures | Internal Medicine | 2308 N Route 59, Naperville, IL 60563-2061 | 2015-07-20 |
| 1356632657 | Edward Health Ventures | Clinic/Center | 130 Weber Road, Ste 100, Bolingbrook, IL 60440-1519 | 2011-04-21 |
| 1518298629 | Edward Health Ventures | Family Medicine | 15905 S Frederick St Ste 105, Plainfield, IL 60586-2212 | 2010-01-29 |
| 1669707014 | Edward Health Ventures | Psychiatry & Neurology | 110 East Countryside Parkway, Suite C, Yorkville, IL 60560-1814 | 2009-10-02 |
| 1720267008 | Edward Health Ventures | Clinic/Center | 2007 95th St., Suite 112, Naperville, IL 60564 | 2007-11-02 |
| 1174573109 | Edward Health Ventures | Clinic/Center | 1025 Ogden Ave, Lisle, IL 60532-4388 | 2006-05-11 |
| 1578513511 | Edward Health Ventures | Family Medicine | 16519 S Route 59, Plainfield, IL 60586-2606 | 2006-05-11 |
| 1376078774 | Edward Health Ventures | Physician Assistant | 30 Danada Sq W, Wheaton, IL 60189-2000 | 2017-04-24 |
| 1427423185 | Edward Health Ventures | Clinic/Center | 801 S Washington St, Naperville, IL 60540-7430 | 2015-12-07 |
| 1275903494 | Edward Health Ventures | Clinic/Center | 4 E Ogden Ave, Westmont, IL 60559-3506 | 2015-09-30 |
| Street Address |
3805 E MAIN ST STE M |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407273709 | Sarah Gresk | Nurse Practitioner | 3805 E Main St, Ste M, St Charles, IL 60174-2487 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346714433 | Faizal Malkana | Psychiatry & Neurology | 3805 E Main St Ste M, St Charles, IL 60174-2487 | 2019-01-11 |
| 1164682597 | Lekshmi R Venugopal | Psychiatry & Neurology | 1120 East Main St, St Charles, IL 60174-2287 | 2008-06-10 |
| 1770783599 | Joy O Urubusi | Psychiatry & Neurology | 3825 Campton Hills Road, St Charles, IL 60175 | 2007-07-19 |
| 1881685071 | Meh Jabeen Hussain | Psychiatry & Neurology | 902 S Randall Rd, C187, St Charles, IL 60174-1554 | 2005-11-04 |
| 1205039658 | Mitchell R Halper | Psychiatry & Neurology | 2210 Dean St, Suite I, St Charles, IL 60175-1066 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.