Organization
ENDEAVOR HEALTH MEDICAL GROUP
Active
Organization
ENDEAVOR HEALTH MEDICAL GROUP
Active
Other names
NorthShore Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL FREEDMAN (PRESIDENT)
(847) 570-5270
Entity
Organization
Contact information
Practice address
9811 WOODS DR, SUITE H180, SKOKIE, IL 60077-1074
(847) 663-2105
(847) 570-5040
Mailing address
9811 WOODS DR, SUITE H180, SKOKIE, IL 60077-1074
(847) 663-2100
(847) 504-3121
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
391800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620410
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
02/19/2007
Last updated
07/31/2024
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