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EDWARD MEDICAL GROUP
NPI 1356632657
Clinic/Center - Multi-Specialty in Bolingbrook, IL

Active since April 21, 2011CLIA 14D1048932 · Waiver
130 WEBER ROAD, STE 100, BOLINGBROOK, IL 60440(630) 646-5777(630) 646-5729 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD MEDICAL GROUP (NPI 1356632657) is a healthcare organization registered as a multi-specialty in Bolingbrook, Illinois and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Bill Kottman, President, as its authorized official.

NPPES Registry Identity

NPI1356632657
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEDWARD HEALTH VENTURES
Location Address130 WEBER ROAD, STE 100Bolingbrook, IL 60440-1519
Mailing Address130 Weber Road, Ste 100Bolingbrook, IL 60440-1519 · (630) 646-5777 · Fax (630) 646-5729
Phone(630) 646-5777
Fax(630) 646-5729
Organization SubpartNo
Authorized OfficialBill KottmanPresident · (630) 646-3388
Enumeration DateApril 21, 2011
Last NPPES UpdateDecember 14, 2015
✔ NPI 1356632657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
130 WEBER ROAD, Bolingbrook, IL 60440
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Other Names 1

Doing Business AsEdward Medical Group

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1048932

Edward Medical Group - Site 8 · Bolingbrook, IL
Active · expires Dec 14, 2027
CLIA Number14D1048932
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorTayfun Ozgen
Laboratory Phone(331) 221-5376
Laboratory LocationEdward Medical Group - Site 8130 N Weber Rd, Ste 100, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Health Ventures's NPI number?

The NPI number for Edward Health Ventures is 1356632657. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Edward Medical Group.

Where is Edward Health Ventures located?

Edward Health Ventures is located at 130 Weber Road Ste 100, Bolingbrook, IL 60440. The listed phone number is (630) 646-5777.

What is Edward Health Ventures's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Edward Health Ventures hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1048932) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edward Health Ventures was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.