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Export Provider Record NPI 1073554739
Endeavor Health Clinical Operations
Organization Subpart: NO
Active
NPI Number1073554739
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1073554739
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-06-10
Last Updated2025-12-17
Authorized OfficialDouglas Welday
CFO
Phone: 8475705099
Mailing Address3040 W Salt Creek Ln
Arlington Heights, IL 60005-1069
United States
Phone: (847) 570-5230 | Fax: (847) 570-5240
📍 View Map
Primary Practice Address2650 Ridge Ave, G949
Evanston, IL 60201-1718
United States
Phone: (847) 570-2210 | Fax: (847) 570-1746
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes333600000X – PharmacyIL0000646
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About NPI 1073554739

Endeavor Health Clinical Operations is an organization registered in the CMS NPPES NPI Registry with NPI number 1073554739. The primary specialty listed is Pharmacy. The organization is located in Evanston, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073554739?

NPI 1073554739 belongs to Endeavor Health Clinical Operations, a Pharmacy in Evanston, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073554739 active?

The current status of NPI 1073554739 in the NPPES registry is Active. The record was last updated on 2025-12-17.

What specialty is NPI 1073554739?

NPI 1073554739 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073554739?

You can verify NPI 1073554739 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073554739?

The primary practice address on file for NPI 1073554739 is 2650 Ridge Ave, Evanston, IL 60201-1718. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073554739 issued?

NPI 1073554739 was first issued (enumerated) on 2006-06-10. The NPPES record was last updated on 2025-12-17.

Practice Location Map

Endeavor Health Clinical Operations is located at 2650 Ridge Ave, Evanston, IL. Use the map below to find directions or verify the practice location.

📍 2650 Ridge Ave, Evanston, IL 60201-1718  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Endeavor Health Clinical Operations. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073554739. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy0000646IL
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162