ENDEAVOR HEALTH MEDICAL GROUP
NPI 1497701882
Emergency Medicine in Evanston, IL
NPI Status: Active since May 26, 2006
Contact Information
1000 CENTRAL ST
EVANSTON, IL
ZIP 60201
Phone: (847) 570-5235
- Organization
- Emergency Medicine
- Accepts Insurance
- CLIA Number: 14D2316487
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-06-2027
About ENDEAVOR HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Endeavor Health Medical Group, a provider established in Evanston, Illinois operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1497701882 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Endeavor Health Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1497701882
- Provider Legal Name
- ENDEAVOR HEALTH MEDICAL GROUP
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1000 CENTRAL ST EVANSTON, IL 60201
- Location Phone
- (847) 570-5235
- Mailing Address
- 1000 CENTRAL ST EVANSTON, IL 60201
- Mailing Phone
- (847) 570-5235
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2006
- Last Update Date
- 09-02-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 7 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 8 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 9 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 10 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 11 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 12 | 207ZB0001X | Allopathic & Osteopathic Physicians | Pathology | |
| 13 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 14 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DB1601 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| DB3329 | OTHER (01) | MEDICARE RR PIN | |
| 1620385 | OTHER (01) | IL | BCBS GRP# |
| CC9279 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| DB8753 | OTHER (01) | MEDICARE RR PIN | |
| DB1510 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
| CG7704 | OTHER (01) | MEDICARE RR PIN | |
| DB4514 | OTHER (01) | MEDICARE RR PIN | |
| DB7197 | OTHER (01) | MEDICARE RR PIN | |
| 1632989 | OTHER (01) | IL | BCBS GRP# |
| 1633266 | OTHER (01) | BCBS | |
| CG1022 | OTHER (01) | IL | MEDICARE RAILROAD PIN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2316487
- Facility Type
- Physician Office
- Certificate Effective Date
- January 07, 2025
- Certificate Expiration Date
- January 06, 2027
- Laboratory Director
- DEBORAH MILLER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Endeavor Health Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497701882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497701882, enumerated as an "organization" on May 26, 2006.
The provider is located at 1000 CENTRAL ST EVANSTON, IL 60201 and the phone number is (847) 570-5235.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.