NPIMap

Organization Active NPI

Endeavor Health Clinical Operations

Doing business as Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
National Provider Identifier
1184670549
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000646 Issued in IL
Legal business name
ENDEAVOR HEALTH CLINICAL OPERATIONS
Doing business as
Endeavor Health Evanston Hospital
Endeavor Health Glenbrook Hospital
Endeavor Health Skokie Hospital1 more in Other names
Practice address
2650 Ridge Ave
Evanston, IL 60201-1718
Phone
(847) 570-2000
Fax
(847) 570-5240
NPI assigned
May 26, 2006
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000646 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Mailing address

1301 Central St
Evanston, IL 60201-1613
Phone (847) 570-2000

Other names 4

  • Endeavor Health Evanston Hospital Doing business as
  • Endeavor Health Glenbrook Hospital Doing business as
  • Endeavor Health Skokie Hospital Doing business as
  • Skokie Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060206000819 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7012989510 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evanston, IL; Glenview, IL; Highland Park, IL; Skokie, IL
O20080508000472 IL Part A Provider - Hospital 7012989510
O20080612000761 IL Part A Provider - Hospital 7012989510 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Round Lake Beach, IL; Libertyville, IL; Lake Forest, IL; Lake Bluff, IL; Highland Park, IL; Bannockburn, IL; Gurnee, IL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184670549. Details of each certification follow.

Hospital certification: CCN 140010

Legal name
ENDEAVOR HEALTH CLINICAL OPERATIONS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 19, 2005
Beds
466
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
2650 Ridge Ave
Evanston, IL 60201-1718
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 140010A

Legal name
ENDEAVOR HEALTH CLINICAL OPERATIONS
Organization structure
CorporationNon-profit
Enrollment address
777 Park Ave W
Highland Park, IL 60035-2433
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

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

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 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Northshore University Healthsystem - Evanston HospitalCCN 140010 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1304 Ella St
San Luis Obispo, CA 93401
Phone (805) 544-7874

Ownership & related parties

All disclosed owners & managing parties 38

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

NameRoleSinceShare
Gabrielle Cummings Individual W-2 Managing EmployeePresident, Evanston Hospital Jun 17, 2002
Gerald Gallagher Individual Corporate OfficerCeo Jan 1, 2024
Corporate DirectorCeo Jan 1, 2024
W-2 Managing EmployeeChief Executive Officer Aug 26, 2002
Corporate Director Nov 9, 2017
W-2 Managing EmployeeCeo Aug 26, 2002
Corporate OfficerCeo Nov 9, 2017
Rocco Martino Individual Corporate Director Jan 1, 2024
Corporate Director Jan 1, 2022
Douglas D Welday Individual Corporate OfficerChief Financial Officer Oct 15, 2018
W-2 Managing EmployeeChief Financial Officer Oct 15, 2018
Operational/Managerial ControlChief Financial Officer Oct 15, 2018
Corporate Officer Oct 15, 2018
W-2 Managing EmployeeSystem Cfo & Treasurer Oct 15, 2018
Operational/Managerial Control Oct 15, 2018
Corporate Officer Oct 15, 2018
W-2 Managing Employee Oct 15, 2018
Toure Claibourne Individual Corporate Director Jan 1, 2024
Corporate Director Oct 1, 2009
Corporate DirectorDirector, Assistant General MGR. Oct 1, 2009
Mary Sheahen Individual Corporate Director Jan 1, 2022
David Zucker Individual Corporate Director Jan 1, 2024
Corporate Director Jun 30, 2013
Corporate Director Nov 8, 2012
Carolyn Cekal Individual W-2 Managing EmployeeSenior Manager Regulatory Reporting Jan 1, 2024
Endeavor Health Organization, Evanston, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Christine Erdmann Individual W-2 Managing EmployeeSystem Corporate Controller Jan 1, 2024
Corporate OfficerSystem Corporate Controller Jan 1, 2024
Operational/Managerial ControlSystem Corporate Controller Jan 1, 2024
Arie Crown Individual Corporate Director Oct 1, 1986
Corporate DirectorVice Chairman Oct 1, 1986
Elizabeth Aquino Individual Corporate Director Jan 1, 2022
Catherine Guthrie Individual Corporate Director Nov 10, 2016
Corporate Director Nov 10, 2016
William Farrow Individual Corporate Director Nov 13, 2014
Corporate DirectorPresident and Chief Executive Nov 13, 2014
David Atchison Individual Corporate Director Jan 1, 2022
Harry Kraemer Individual Corporate Director Oct 1, 2000
Corporate DirectorPast Chairman of the Board Oct 1, 2000
Ram Shivakumar Individual Corporate Director Jan 1, 2022
Sean Chou Individual Corporate Director Jan 1, 2022
Margaret Harrell Individual Corporate Director Jan 1, 2022
Connie Duckworth Individual Corporate Director Oct 1, 1997
Corporate DirectorFormer Chairman of the Board Oct 1, 1997
Christopher Olson Individual Corporate Director Nov 14, 2019
Mary Kay Ladone Individual Corporate Director Jan 1, 2022
Ronald Nyberg Individual Corporate Director Jan 1, 2022
Timothy Rivelli Individual Corporate Director Jan 1, 2022
Ann Ford Individual Corporate Director Jan 1, 2022
John Zern Individual Corporate Director Nov 9, 2017
Corporate Director Nov 9, 2017
Gregory Jones Individual Corporate Director Oct 1, 2005
Corporate DirectorPartner/Coo the Edgewater Funds Oct 1, 2005
Kevin Willer Individual Corporate Director Nov 14, 2013
Ellen Daniel Individual W-2 Managing Employee Jan 7, 2008
Mark S Talamonti Individual Corporate DirectorChairman, Dept. of Surgery Oct 1, 2009
Scott Schweighauser Individual Corporate DirectorPartner & Cheif Investment Off. Oct 1, 2010
Kristen Murtos Individual Corporate OfficerChief Operating Officer Mar 1, 2018
W-2 Managing EmployeeChief Operating Officer May 1, 2012
Susan Sentell Individual Corporate Director Oct 1, 2006
Samuel Mencoff Individual Corporate DirectorCo-Ceo Oct 1, 2001
Douglas Silverstein Individual W-2 Managing EmployeePresident, Evanston Hospital May 1, 2012
Harry Jones Individual W-2 Managing EmployeeChief Compliance Officer May 1, 2012
Sean O'Grady Individual Corporate Officer Nov 8, 2018
W-2 Managing Employee Aug 14, 2006
David Dohnalek Individual Corporate DirectorSenior Vice President Nov 14, 2013

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.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

Affiliated clinicians 2,806

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,806

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1184670549",
    "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": "2006-05-26",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-570-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "000646",
            "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": "Endeavor Health Glenbrook Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Endeavor Health Skokie Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skokie Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.