ENDEAVOR MENTAL HEALTHCARE AND MEDICAL SERVICES LTD
NPI 1114774296
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Endeavor Mental Healthcare And Medical Services Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Endeavor Mental Healthcare And Medical Services Ltd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Endeavor Mental Healthcare And Medical Services Ltd enrolled in Medicare?
Yes. Endeavor Mental Healthcare And Medical Services Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Endeavor Mental Healthcare And Medical Services Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Endeavor Mental Healthcare And Medical Services Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 2 years 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.
# Endeavor Mental Healthcare And Medical Services Ltd · NPI 1114774296
Psychiatric/Mental Health organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1114774296 (Entity type: Organization)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Patricia Vowal, NURSE PRACTITIONER
## Practice location
- **Address:** 10336 S WESTERN AVE, Chicago, IL 60643-2407
- **Phone:** (773) 405-8076 · **Fax:** (605) 309-7783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114774296) · Data from the CMS NPPES public registry.