EDWARD HEALTH VENTURES (NPI# 1992039390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992039390 |
| Entity Type | Organization |
| Organization Name | EDWARD HEALTH VENTURES |
| Other Organization Name | EDWARD HEMATOLOGY ONCOLOGY GROUP |
| Practice Address |
1 E Countyline Rd Sandwich IL 60548-2178 |
| Practice Telephone | 6305273788 |
| Practice Fax Number | 6306466071 |
| Mailing Telephone | 6305273788 |
| Mailing Fax Number | 6306466071 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Edward Hematology Oncology 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 |
| 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 |
| 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 |
| Street Address |
1 E COUNTYLINE RD |
| City | SANDWICH |
| State | IL |
| Zip Code | 60548-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243100 | Maria Dana Sutkus | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2005-08-29 |
| 1316183551 | Edward Health Ventures | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2008-12-17 |
| 1851547848 | Mark D Weinhold D D S P C | Dentist | 1 E Countyline Rd, Ste A, Sandwich, IL 60548-2178 | 2008-08-11 |
| 1366615353 | Anne Barsch | Marriage & Family Therapist | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2008-04-10 |
| 1790908077 | Dreyer Medical Group Ltd | Clinic/Center | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-04-11 |
| 1497878086 | Prairie Healthcare, Ltd | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-04-09 |
| 1396866885 | Mark Donald Weinhold | Dentist | 1 E Countyline Rd, Suite A, Sandwich, IL 60548-2178 | 2007-04-02 |
| 1558401091 | Rezin Orthopedic and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-02-07 |
| 1992844856 | Rezin Orthopedic & Sports Medicine, Sc | Physical Medicine & Rehabilitation | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-02-06 |
| 1104819697 | Kenneth J Kavanaugh | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
| 1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
| 1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
| 1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
| 1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
| 1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
| 1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
| 1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
| 1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
| 1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
| Find all providers in zip 60548 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275577512 | Ramesh Kola | Internal Medicine | 15 W Pleasant Ave, Sandwich, IL 60548-1050 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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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.