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Contact Information

ENDEAVOR HEALTH MEDICAL GROUP
1000 CENTRAL ST
EVANSTON, IL60201-1777
 Phone: 847-570-5235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ENDEAVOR HEALTH MEDICAL GROUP · (Female)

NPI Number 1497701882
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2006
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1633266 BCBS
  • Other CG7704 MEDICARE RR PIN
  • Other DB3329 MEDICARE RR PIN
  • Other DB4514 MEDICARE RR PIN
  • Other DB7197 MEDICARE RR PIN
  • Other DB8753 MEDICARE RR PIN
  • IL Other 1620385 BCBS GRP#
  • IL Other 1632989 BCBS GRP#
  • IL Other CC9279 MEDICARE RAILROAD PIN
  • IL Other CG1022 MEDICARE RAILROAD PIN
  • IL Other DB1510 MEDICARE RAILROAD PIN
  • IL Other DB1601 MEDICARE RAILROAD PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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