Organization · Type 2 NPI

Endeavor Mental Healthcare and Medical Services Ltd

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1114774296 Active

Practice location

10336 S Western Ave
Chicago, IL 60643-2407

Call (773) 405-8076 Map

Fax (605) 309-7783

Mailing address

10611 South Lowe, House
Chicago, IL 60628

Other practice locations

Advocate Trinity Hospital, 2320 East 93rd St. Chicago, Chicago, IL 60617 · (773) 405-8076
8012 South Crandon, House, Chicago, IL 60617 · (773) 365-5303

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed
Adult Health Clinical Nurse Specialist	364SA2200X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

5 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Chicago

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NPI record

NPI: 1114774296
Entity type: Organization (Type 2)
Issued: May 6, 2024
Last updated: Aug 26, 2024
Status: Active

Other names

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Endeavor Clinical Healthcare Services · former legal business name
Endeavor Clinical Healthcare Services · former legal business name

Authorized official

Patricia Vowal
Nurse Practitioner
(773) 405-8076

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114774296

Endeavor Mental Healthcare and Medical Services Ltd's National Provider Identifier is 1114774296, issued on May 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Aug 26, 2024.