Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

App of Illinois ED PLLC

Organization Emergency Medicine Physician · NPI 1053860080

App of Illinois ED PLLC is an Emergency Medicine Physician in Waukegan, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone: (847) 360-6930
Fax: (904) 559-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053860080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Grimes — Cfo · (855) 246-8607
NPI enumeratedOctober 3, 2016
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address5121 Maryland Way Ste 300, Brentwood, TN 37027-7516

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