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

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  • Organization
  • Clinic/Center
  • Multi-Specialty

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 17 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
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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:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM G. KOTTMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(630) 646-3950

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
9919630OTHER (01)ILBCBS
CC2969MEDICARE PIN (08)IL 
366700MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962452912, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 5 + 4 + 9 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1962452912.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Internal Medicine
130 N WEBER RD, STE 100
BOLINGBROOK, IL 60440
Clinic/Center (Multi-Specialty)
130 N WEBER RD, SUITE 112
BOLINGBROOK, IL 60440
Clinic/Center (Radiology)
130 N WEBER RD
BOLINGBROOK, IL 60440
Preventive Medicine (Occupational Medicine)
130 N WEBER RD
BOLINGBROOK, IL 60440
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Physician Assistant
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Family Medicine
130 N WEBER RD, SUITE 112
BOLINGBROOK, IL 60440
Internal Medicine
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Family Medicine
130 N WEBER RD, STE 112
BOLINGBROOK, IL 60440
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Social Worker (Clinical)
130 N WEBER RD, SUITE 200
BOLINGBROOK, IL 60440
Internal Medicine
130 N WEBER RD, STE 100
BOLINGBROOK, IL 60440
Hospitalist
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 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 Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.