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General NPI Number Information
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NPI Number | 1265695944
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Entity Type | Organization
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Legal Business Name | ENDEAVOR HEALTH MEDICAL GROUP
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2650 RIDGE AVE ANESTHESIOLOGY ROOM 3905
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE ANESTHESIOLOGY ROOM 3905
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL FREEDMAN
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Credential |
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Telephone | 847-570-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0000646
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License Number State | IL
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