NPIMap

Organization Active NPI

Endeavor Health Clinical Operations

Doing business as NorthShore University Healthsystem Skokie Hospital Outpatien

  • Institutional Pharmacy
  • Skokie, IL
National Provider Identifier
1467723759
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
054.017806 Issued in IL
Legal business name
ENDEAVOR HEALTH CLINICAL OPERATIONS
Doing business as
NorthShore University Healthsystem Skokie Hospital Outpatien
Skokie Hospital Outpatient Pharmacy
Practice address
9650 Gross Point Rd # 1901
Skokie, IL 60076-1214
Phone
(847) 933-6890
Fax
(847) 933-6866
NPI assigned
Jan 19, 2012
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 054.017806 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd # 1901
Skokie, IL 60076-1214

Mailing address

3040 W Salt Creek LN
Arlington Heights, IL 60005-1069
Phone (847) 570-2000

Other identifiers 1

IdentifierTypeStateIssuer
2133653OtherPK

Other names 2

  • NorthShore University Healthsystem Skokie Hospital Outpatien Doing business as
  • Skokie Hospital Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

9650 Gross Point Rd
#1901
Skokie, IL 60076
Phone (847) 933-6890

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1467723759",
    "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": "847-570-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD # 1901",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-933-6890",
            "fax_number": "847-933-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH CLINICAL OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "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"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IL",
            "license": "054.017806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthShore University Healthsystem Skokie Hospital Outpatien",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skokie Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.