Organization
ENDEAVOR HEALTH MEDICAL GROUP
Active
Other names
NorthShore University HealthSystem Faculty Practice Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL S. FREEDMAN (PRESIDENT)
(847) 570-5272
Entity
Organization
Contact information
Practice address
1000 CENTRAL ST, EVANSTON, IL 60201-1777
(847) 570-5235
Mailing address
1000 CENTRAL ST, EVANSTON, IL 60201-1777
(847) 570-5235
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620385
BCBS GRP#
IL
01
—
1632989
BCBS GRP#
IL
01
—
1633266
BCBS
—
01
—
CC9279
MEDICARE RAILROAD PIN
IL
01
—
CG1022
MEDICARE RAILROAD PIN
IL
01
—
CG7704
MEDICARE RR PIN
—
01
—
DB1510
MEDICARE RAILROAD PIN
IL
01
—
DB1601
MEDICARE RAILROAD PIN
IL
01
—
DB3329
MEDICARE RR PIN
—
01
—
DB4514
MEDICARE RR PIN
—
01
—
DB7197
MEDICARE RR PIN
—
01
—
DB8753
MEDICARE RR PIN
—
Enumeration date
05/26/2006
Last updated
09/02/2025
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