EDWARD HEALTH VENTURES (NPI# 1578513511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578513511 |
| Entity Type | Organization |
| Organization Name | EDWARD HEALTH VENTURES |
| Other Organization Name | EDWARD MEDICAL GROUP |
| Practice Address |
16519 S Route 59 Plainfield IL 60586-2606 |
| Mailing Address |
120 Osler Lower Level Naperville IL 60540-7429 |
| Practice Telephone | 6306465020 |
| Practice Fax Number | 6306465025 |
| Mailing Telephone | 6306463388 |
| Mailing Fax Number | 6305486832 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | MR. WILLIAM G. KOTTMAN (PRESIDENT) |
| Authorized Official Telephone | 6306463388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 9933040 | 01 |
| Other Name | Type Code |
|---|---|
| Edward Medical Group | Doing Business As Name - 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 |
| 1205903168 | Edward Health Ventures | Psychiatry & Neurology | 3805 E Main St, Ste M, St Charles, IL 60174-2487 | 2006-11-29 |
| 1174573109 | Edward Health Ventures | Clinic/Center | 1025 Ogden Ave, Lisle, IL 60532-4388 | 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 |
16519 S ROUTE 59 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60586-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700363827 | Gina Therese Gedutis | Nurse Practitioner | 16519 S Route 59, Plainfield, IL 60586-2606 | 2018-07-21 |
| 1740711050 | Arpit Devendra Patel | Family Medicine | 16519 S Route 59, Plainfield, IL 60586-2607 | 2017-03-27 |
| 1821335530 | Elizabeth Aimee Layfield | Physician Assistant | 16519 S Route 59, Plainfield, IL 60586-2606 | 2013-01-15 |
| 1962764258 | Erin Brianne Callahan | Physical Therapist | 16519 S Route 59, Plainfield, IL 60586-2606 | 2012-06-12 |
| 1376817668 | Caitlin Cheney | Nurse Practitioner | 16519 S Route 59, Plainfield, IL 60586-2606 | 2012-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658434 | Brigitte L Oetter | Social Worker | 6106 Pheasant Ridge Dr, Plainfield, IL 60586 | 2017-09-21 |
| 1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
| 1295059665 | Joni Deanne Gruen | Physical Therapy Assistant | 2612 Discovery Dr., Plainfield, IL 60586 | 2010-03-15 |
| 1225229453 | James G Kulekowskis Jr. | Pharmacist | 16146 S Arbor Drive, Plainfield, IL 60586 | 2007-08-05 |
| 1346363355 | Beth Ann Boss | Speech-Language Pathologist | 16504 Mueller Cir., Plainfield, IL 60586 | 2007-04-06 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1497850044 | Rachel Z Mika | Physical Therapist | 6619 Mountain Ridge Pass, Plainfield, IL 60586 | 2006-09-14 |
| 1427060888 | Neil R Fried | Podiatrist | 15921 Hometown Dr, Plainfield, IL 60586 | 2006-08-13 |
| 1497701924 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2480 S Route 59, Plainfield, IL 60586 | 2006-05-26 |
| 1164473609 | Women's Center for Health L P | Obstetrics & Gynecology | 15900 S Frederick St, Plainfield, IL 60586 | 2006-05-12 |
| Find all providers in zip 60586 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780071050 | Fayeza Mohammed | Family Medicine | 24600 W 127th St Ste B100, Plainfield, IL 60585 | 2015-04-23 |
| 1063850576 | Philip A. Blaney | Family Medicine | 315 N Dan Jones Rd Ste 120, Plainfield, IN 46168 | 2013-06-06 |
| 1235572124 | Kristy Mount | Family Medicine | 1100 Southfield Dr Ste 1310, Plainfield, IN 46168-4499 | 2013-04-10 |
| 1902147507 | Stirling Health & Wellness LLC | Family Medicine | 1655 Hawthorne Dr Ste A&b, Plainfield, IN 46168-1895 | 2013-03-06 |
| 1518298629 | Edward Health Ventures | Family Medicine | 15905 S Frederick St Ste 105, Plainfield, IL 60586-2212 | 2010-01-29 |
| 1467600809 | Devang Patel | Family Medicine | 14855 S Van Dyke Rd, #294, Plainfield, IL 60544-4369 | 2008-08-27 |
| 1770777658 | Sanjeeb Khatua | Family Medicine | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2007-09-04 |
| 1851585863 | Rajesh T Patel | Family Medicine | 1416 Park Ave, Plainfield, NJ 07060-2911 | 2007-09-03 |
| 1821296260 | Cindy De Neira | Family Medicine | 315 N Dan Jones Rd Ste 150, Plainfield, IN 46168-2848 | 2007-07-06 |
| 1528273166 | Lynn T Schuetz | Family Medicine | 2155 E Main St, Plainfield, IN 46168-1816 | 2007-05-14 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60586 |
Please comment or provide details below to improve the information on EDWARD HEALTH VENTURES.
| 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.