| Edward Medical Group | |
|
2007 95th Street Suite 112 Naperville IL 60564 | |
| (630) 527-7780 | |
| (630) 527-7777 |
| Full Name | Edward Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2007 95th Street, Naperville, 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 27555 Diehl Rd Warrenville IL 60555 Ph: (630) 646-3950 | Edward Medical Group 2007 95th Street Suite 112 Naperville IL 60564 Ph: (630) 527-7780 |
| NPI Number | 1598715435 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598715435 | NPI | - | NPPES |
| 2221474 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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