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Contact Information

ENDEAVOR HEALTH CLINICAL OPERATIONS
757 PARK AVE W RM 1851
HIGHLAND PARK, IL60035-2556
 Phone: 847-926-6560
 Fax: 847-926-5390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ENDEAVOR HEALTH CLINICAL OPERATIONS

NPI # 1942561469
LBN Legal business name ENDEAVOR HEALTH CLINICAL OPERATIONS
Authorized official DOUGLAS WELDAY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2012
Last updated 01/12/2026 - About 5 months ago
Identifiers
IL License # 054017942
IL Medicaid N/A
Other 2135737 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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