| Edward Medical Group | |
|
16519 S Route 59 Plainfield IL 60586-2606 | |
| (630) 646-5020 | |
| (630) 646-5025 |
| Full Name | Edward Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 16519 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | William G. Kottman (PRESIDENT) |
| Authorized Official Contact | 6306463388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Medical Group 120 Osler Lower Level Naperville IL 60540-7429 Ph: (630) 646-3388 | Edward Medical Group 16519 S Route 59 Plainfield IL 60586-2606 Ph: (630) 646-5020 |
| NPI Number | 1578513511 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578513511 | NPI | - | NPPES |
| 9933040 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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