Endeavor Health Clinical Operations

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0000646 Issued in IL

Legal business name

ENDEAVOR HEALTH CLINICAL OPERATIONS

Practice address

2650 Ridge Ave
Evanston, IL 60201-1718

Phone

(847) 570-2000

Fax

(847) 570-5240

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Addresses

Other names 2

• Endeavor Health Evanston Hospital Doing business as
• Evanston Hospital - Psych Unit Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospital certification: CCN 14S010

Legal name

ENDEAVOR HEALTH CLINICAL OPERATIONS

Organization structure

CorporationNon-profit

Incorporated

Dec 4, 1891 in IL

Enrollment address

777 Park Avenue West
Highland Park, IL 60035-2432
Hospital Psychiatric Unit

Hospital subgroups

General, Acute care, Psychiatric unit, Rehabilitation unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549

  Unit of hospital

  Provider of Services

Other NPIs on the same Medicare enrollment 1

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

• Endeavor Health Clinical Operations

  • Psychiatric Hospital Unit
  • Highland Park, IL
  • NPI 1770527236

  O20080603000505

  Same enrollment

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.

• Endeavor Health Clinical Operations

  • Pharmacy
  • Evanston, IL
  • NPI 1073554739
  NPD tax ID
• Endeavor Health Clinical Operations

  • Clinical Medical Laboratory
  • Highland Park, IL
  • NPI 1225943061
  NPD tax ID
• Endeavor Health Clinical Operations

  • Clinical Medical Laboratory
  • Glenview, IL
  • NPI 1275448003
  NPD tax ID
• Endeavor Health Clinical Operations

  • Clinical Medical Laboratory
  • Skokie, IL
  • NPI 1346155181
  NPD tax ID
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Highland Park, IL
  • NPI 1609817220
  NPD tax ID
• Endeavor Health Clinical Operations

  • Clinical Medical Laboratory
  • Evanston, IL
  • NPI 1982519708
  NPD tax ID
• Evanston Hospital Dental Center

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1518829852
  NPD tax ID
• Northshore University Healthsystem

  • Pharmacy
  • Highland Park, IL
  • NPI 1750400206
  NPD tax ID

Locations

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1093755340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011613",
            "telephone_number": "847-570-2000",
            "fax_number": "847-570-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2000",
            "fax_number": "847-570-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH CLINICAL OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0000646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd, #302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Endeavor Health Evanston Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evanston Hospital - Psych Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emerging Pathways Counseling PLLC
• Amanda Sue Emerson, LCSW
• Emily N Halliday
• Neelmini Emmanuel, MD
• Endeavor Health Clinical Operations
• Endeavor Health Clinical Operations
• Endeavor Health Clinical Operations
• Endeavor Health Medical Group
• Endeavor Health Medical Group
• Endoscopy Center of the North Shore, LLC

• All providers in Evanston, IL
• Psychiatric Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.