Organization · Type 2 NPI

Endeavor DLW Foundation

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1700713930 Active

Practice location

10336 S Western Ave
Chicago, IL 60643-2407

Mailing address

10611 S Lowe Ave
Chicago, IL 60628-2311

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

5 other providers at this address

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About NPI 1700713930

Endeavor DLW Foundation's National Provider Identifier is 1700713930, issued on May 4, 2026. 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 May 4, 2026.