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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