ENDEAVOR MENTAL HEALTHCARE AND MEDICAL SERVICES LTD
NPI 1114774296
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since May 06, 2024
10336 S WESTERN AVE, CHICAGO, IL 60643(773) 405-8076(605) 309-7783 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endeavor Mental Healthcare And Medical Services Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDEAVOR MENTAL HEALTHCARE AND MEDICAL SERVICES LTD (NPI 1114774296), doing business as Endeavor Clinical Healthcare Services, is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since May 2024. The organization maintains 2 additional practice locations and lists Patricia Vowal, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1114774296
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameENDEAVOR MENTAL HEALTHCARE AND MEDICAL SERVICES LTD
Location Address10336 S WESTERN AVEChicago, IL 60643-2407
Mailing Address10611 South Lowe, HouseChicago, IL 60628 · (773) 405-8076
Fax(605) 309-7783
Organization SubpartNo
Authorized OfficialPatricia VowalNurse Practitioner · (773) 405-8076
Enumeration DateMay 6, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1114774296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X
10336 S WESTERN AVE, Chicago, IL 60643

Other Names 1

Former Legal Business NameEndeavor Clinical Healthcare Services

Secondary Practice Locations 2

Location 1Advocate Trinity Hospital, 2320 East 93rd St. ChicagoChicago, IL 60617 · Phone (773) 405-8076
Location 28012 South Crandon, houseChicago, IL 60617 · Phone (773) 365-5303 · Fax (773) 356-5178

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10336 S WESTERN AVE
CHICAGO, IL 60643
Social Worker (Clinical)
10336 S WESTERN AVE
CHICAGO, IL 60643
Nurse Practitioner (Psychiatric/Mental Health)
10336 S WESTERN AVE
CHICAGO, IL 60643
Social Worker (Clinical)
10336 S WESTERN AVE
CHICAGO, IL 60643
Social Worker (Clinical)
10336 S WESTERN AVE
CHICAGO, IL 60643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endeavor Mental Healthcare And Medical Services Ltd's NPI number?

The NPI number for Endeavor Mental Healthcare And Medical Services Ltd is 1114774296. It was assigned to this organization in the NPPES registry on May 6, 2024. The provider was formerly known as Endeavor Clinical Healthcare Services.

Where is Endeavor Mental Healthcare And Medical Services Ltd located?

Endeavor Mental Healthcare And Medical Services Ltd is located at 10336 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 405-8076.

What is Endeavor Mental Healthcare And Medical Services Ltd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Endeavor Mental Healthcare And Medical Services Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Endeavor Mental Healthcare And Medical Services Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endeavor Mental Healthcare And Medical Services Ltd was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.