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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427676113

Wallis Olivia Edwards, MD is a Family Practice in Zion, Illinois. Qualified in 2020, 6 years ago. Practices with Waukegan Clinic Corp, a 62-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2723 Sheridan Rd Ste C
Zion, IL 60099-2616
Phone: (847) 360-4260
Fax: (847) 360-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15 Tower Ct Ste 210, Gurnee, IL 60031-3355 — (847) 599-1444
  • 2400 W Villard Ave, Milwaukee, WI 53209-4901 — (414) 527-8191

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036163896 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427676113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESMay 16, 2023
Certification dateMay 10, 2023
Mailing address1324 N Sheridan Rd, Waukegan, IL 60085-2161

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Waukegan Clinic Corp — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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