EDWARD MEDICAL GROUP
NPI 1962452912
Clinic/Center - Multi-Specialty in Bolingbrook, IL
NPI Status: Active since May 11, 2006
Contact Information
130 N WEBER RD
SUITE 100
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 646-5777
Fax: (630) 646-5729
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About EDWARD MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Edward Medical Group, a provider established in Bolingbrook, Illinois operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1962452912 assigned on May 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Edward Medical Group. The authorized official of this NPI record is Mr. William G. Kottman (President)
- NPI
- 1962452912
- Provider Legal Name
- EDWARD HEALTH VENTURES
- Other Organization Name
- EDWARD MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 130 N WEBER RD SUITE 100 BOLINGBROOK, IL 60440
- Location Phone
- (630) 646-5777
- Location Fax
- (630) 646-5729
- Mailing Address
- 27555 DIEHL RD WARRENVILLE, IL 60555
- Mailing Phone
- (630) 646-3950
- Mailing Fax
- (630) 646-5729
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2006
- Last Update Date
- 03-27-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9919630 | OTHER (01) | IL | BCBS |
| CC2969 | MEDICARE PIN (08) | IL | |
| 366700 | MEDICARE PIN (08) | IL |
Reviews for EDWARD MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 5 | 2 | 9 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 5 | 4 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 5 + 4 + 9 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1962452912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
JO ANN MURPHY
Internal Medicine
130 N WEBER RD
STE 100
BOLINGBROOK, IL
ZIP 60440
EDWARD HEALTH VENTURES
Clinic/Center
(Multi-Specialty)
130 N WEBER RD
SUITE 112
BOLINGBROOK, IL
ZIP 60440
EDWARD HOSPITAL IMAGING CENTER BOLINGBROOK
Clinic/Center
(Radiology)
130 N WEBER RD
BOLINGBROOK, IL
ZIP 60440
GREGORY W GOSKA M.D.
Internal Medicine
130 N WEBER RD
SUITE 100
BOLINGBROOK, IL
ZIP 60440
DR. KATHLEEN KELLY M.D.
Preventive Medicine
(Occupational Medicine)
130 N WEBER RD
BOLINGBROOK, IL
ZIP 60440
EDWARD HOSPITAL
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL
ZIP 60440
LINDSEY ANN LYNCH PA-C
Physician Assistant
130 N WEBER RD
SUITE 100
BOLINGBROOK, IL
ZIP 60440
MRS. SANDRA A MAZUR NP
Family Medicine
130 N WEBER RD
SUITE 112
BOLINGBROOK, IL
ZIP 60440
RIDDHI PAKRASI M.D.
Internal Medicine
130 N WEBER RD
SUITE 100
BOLINGBROOK, IL
ZIP 60440
TAYFUN M OZGEN MD
Family Medicine
130 N WEBER RD
STE 112
BOLINGBROOK, IL
ZIP 60440
DR. COLLEEN KELEHER M.D.
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL
ZIP 60440
MRS. KATHERINE J O'DONNELL LCSW
Social Worker
(Clinical)
130 N WEBER RD
SUITE 200
BOLINGBROOK, IL
ZIP 60440
KINJAL U. SHAH M.D.
Internal Medicine
130 N WEBER RD
STE 100
BOLINGBROOK, IL
ZIP 60440
MELISSA R EDWARDS PA-C
Physician Assistant
130 N WEBER RD
BOLINGBROOK, IL
ZIP 60440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962452912, enumerated as an "organization" on May 11, 2006.
The provider is located at 130 N WEBER RD SUITE 100 BOLINGBROOK, IL 60440 and the phone number is (630) 646-5777.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
