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General NPI Number Information
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NPI Number | 1053367375
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Entity Type | Organization
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Legal Business Name | ENDEAVOR HEALTH CLINICAL OPERATIONS
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2050 PFINGSTEN RD MEDICAL OFFICE BUILDING SOUTH - SUITE 100
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City | GLENVIEW
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State | IL
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Zip | 60026-1324
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Country | US
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Telephone | 847-657-1785
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Fax | 847-657-1787
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Provider Business Mailing Address
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Address Line | 3040 W SALT CREEK LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1069
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Country | US
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Telephone | 847-570-5230
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Fax | 847-570-5240
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Authorized Official
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Title or Position | CFO
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Name | MR. DOUGLAS D WELDAY
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Credential |
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Telephone | 847-570-5099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0003483
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License Number State | IL
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