Healthcare Provider Details

I. General information

NPI: 1851205124
Provider Name (Legal Business Name): ENDEAVOR HEALTH PHYSICIAN PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1069
US

IV. Provider business mailing address

3040 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1069
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-5235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. LAWRENCE GREEN
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 847-570-5065