ENDEAVOR DLW FOUNDATION
NPI 1700713930
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since May 04, 2026
10336 S WESTERN AVE, CHICAGO, IL 60643(708) 581-8031 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Endeavor Dlw Foundation NPPES

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

ENDEAVOR DLW FOUNDATION (NPI 1700713930) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since May 2026. The organization lists Patricia Vowal, Owner, as its authorized official.

NPPES Registry Identity

NPI1700713930
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameENDEAVOR DLW FOUNDATION
Location Address10336 S WESTERN AVEChicago, IL 60643-2407
Mailing Address10611 S Lowe AveChicago, IL 60628-2311
Organization SubpartNo
Authorized OfficialPatricia VowalOwner · (708) 581-8031
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1700713930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10336 S WESTERN AVE, Chicago, IL 60643

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dlw Foundation 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 Dlw Foundation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063832541
1340 SOUTH DAMEN ALEGIS CARE
Chicago, IL 60608
(773) 292-4800
✔ PECOS✔ Accepts Medicare11 mi

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 Dlw Foundation's NPI number?

The NPI number for Endeavor Dlw Foundation is 1700713930. It was assigned to this organization in the NPPES registry on May 4, 2026.

Where is Endeavor Dlw Foundation located?

Endeavor Dlw Foundation is located at 10336 S Western Ave, Chicago, IL 60643. The listed phone number is (708) 581-8031.

What is Endeavor Dlw Foundation's specialty?

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

Is Endeavor Dlw Foundation enrolled in Medicare?

Yes. Endeavor Dlw Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endeavor Dlw Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Endeavor Dlw Foundation. 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 Dlw Foundation was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.