MEDICARE: ENDEAVOR HEALTH CLINICAL OPERATIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	0003483	IL

General Provider Information

NPI Number	:	1053367375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDEAVOR HEALTH CLINICAL OPERATIONS

Provider Business Mailing Address
First Line	:	3040 W SALT CREEK LN
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1069
Country	:	US
Telephone Number	:	847-570-5230
Fax Number	:	847-570-5240

Provider Business Practice Location Address
First Line	:	2050 PFINGSTEN RD
Second Line	:	MEDICAL OFFICE BUILDING SOUTH - SUITE 100
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1324
Country	:	US
Telephone Number	:	847-657-1785
Fax Number	:	847-657-1787

Authorized Official
Title or Position	:	CFO
Name	:	MR. DOUGLAS D WELDAY
Credential	:
Telephone Number	:	847-570-5099

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	12/17/2025

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