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General NPI Number Information
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NPI Number | 1942561469
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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 | 05/31/2012
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 757 PARK AVE W RM 1851
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2556
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Country | US
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Telephone | 847-926-6560
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Fax | 847-926-5390
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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 | 847-570-2000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | 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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 054017942
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License Number State | IL
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