Healthcare Provider Details

I. General information

NPI: 1467723759
Provider Name (Legal Business Name): ENDEAVOR HEALTH CLINICAL OPERATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 GROSS POINT RD # 1901
SKOKIE IL
60076-1214
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 847-933-6890
  • Fax: 847-933-6866
Mailing address:
  • Phone: 847-570-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number054.017806
License Number StateIL

VIII. Authorized Official

Name: DOUGLAS D WELDAY
Title or Position: CFO
Credential:
Phone: 847-570-5099