| NPI | 1821229006 |
|---|---|
| Other Name | EDWARD MEDICAL GROUP - FAMILY PRACTICE CREST HILL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KOTTMAN President 630-646-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-10-01 |