| Entity Name: | ENDEAVOR HEALTH MEDICAL GROUP |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 05 Dec 1990 |
| Company Number: | CORP_56197052 |
| File Number: | 56197052 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAV9DENKH7Q7 | 2025-02-19 | 1301 CENTRAL ST, EVANSTON, IL, 60201, 1613, USA | 1301 CENTRAL ST, EVANSTON, IL, 60201, 1613, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 09 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-02-26 |
| Initial Registration Date | 2020-05-18 |
| Entity Start Date | 1990-12-05 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ELLEN DANIEL |
| Address | 1301 CENTRAL ST #222, EVANSTON, IL, 60201, USA |
| Title | ALTERNATE POC |
| Name | ROSA MARTINEZ |
| Address | 1301 CENTRAL STREET, EVANSTON, IL, 60201, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ELLEN DANIEL |
| Address | 1301 CENTRAL ST #222, EVANSTON, IL, 60201, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| SHIVANI BAUTISTA, 1301 CENTRAL STREET, EVANSTON, 60201, COOK-NOT IN CITY OF CHICAGO | Agent | 2022-11-28 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NORTHSHORE UNIVERSITY HEALTHSYSTEM OMEGA | No data | 2014-01-03 | 2024-01-05 | Voluntary Cancellation | No data |
| Name | Change Date |
|---|---|
| NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | 2023-12-13 |
| ENH FACULTY PRACTICE ASSOCIATES | 2008-10-01 |
| EVANSTON MEDICAL SPECIALISTS FOUNDATION | 1996-11-18 |
Date of last update: 27 Jan 2025
