NPIMap

Organization Active NPI

Endeavor Health Clinical Operations

  • Pharmacy
  • Evanston, IL
National Provider Identifier
1073554739
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0000646 Issued in IL
Legal business name
ENDEAVOR HEALTH CLINICAL OPERATIONS
Practice address
2650 Ridge Ave
G949
Evanston, IL 60201-1718
Phone
(847) 570-2210
Fax
(847) 570-1746
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Douglas D Welday
Title
Cfo
Phone
(847) 570-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0000646 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
G949
Evanston, IL 60201-1718

Mailing address

3040 W Salt Creek LN
Arlington Heights, IL 60005-1069
Phone (847) 570-5230

Other names 1

  • Evanston Hospital Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000819 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7012989510 8 other NPIs on this enrollment
Practice locations: Evanston, IL; Glenview, IL; Highland Park, IL; Skokie, IL
O20100930093064 IL DME Supplier - Pharmacy 7012989510 Practice locations: Evanston, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Northshore University Healthsystem2650 Ridge Ave, Evanston, IL 60201-1718(847) 570-2000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
North Shore University Health System9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2650 Ridge Ave
#G949
Evanston, IL 60201
Phone (847) 570-2210

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Endeavor Health Northwest Community HospitalArlington Heights, IL, CCN 140252 Hospital 5% Or Greater Indirect Ownership Interest (95%) Jan 1, 2024
Northwest Community HospitalArlington Heights, IL, CCN 14S252 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2021
Kellogg Gelnbrook PharmacyChicago, IL, CCN 14S114 Hospital 5% Or Greater Direct Ownership Interest Dec 5, 2023
Swedish Covenant HealthChicago, IL, CCN 14T114 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 5, 2023
Swedish HospitalChicago, IL, CCN 140114 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
NCH Rehabilitation Care UnitArlington Heights, IL, CCN 14T252 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2021
Residential Home HealthLisle, IL, CCN 147568 Home health agency 5% Or Greater Indirect Ownership Interest (30%) Mar 1, 2022
Residential Home HealthNorthbrook, IL, CCN 147001 Home health agency 5% Or Greater Indirect Ownership Interest (30%) Mar 1, 2022
Residential Home HealthSchaumburg, IL, CCN 147094 Home health agency 5% Or Greater Indirect Ownership Interest (30%) Mar 1, 2022
Residential HospiceLisle, IL, CCN 141655 Hospice 5% Or Greater Direct Ownership Interest (25%) Mar 1, 2022
Residential HospiceNorthbrook, IL, CCN 141522 Hospice 5% Or Greater Direct Ownership Interest (25%) Mar 1, 2022

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1073554739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 W SALT CREEK LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051069",
            "telephone_number": "847-570-5230",
            "fax_number": "847-570-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "G949",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2210",
            "fax_number": "847-570-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH CLINICAL OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-570-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "0000646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanston Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evanston Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.