APP OF ILLINOIS ED PLLC
NPI 1053860080
Emergency Medicine in Waukegan, IL

Q: What is App Of Illinois Ed PLLC's NPI number?

The NPI number for App Of Illinois Ed PLLC is 1053860080. It was assigned to this organization in the NPPES registry on October 3, 2016.

Q: What is App Of Illinois Ed PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since October 03, 2016

1324 N SHERIDAN RD, WAUKEGAN, IL 60085(847) 360-6930(904) 559-4370 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2023, Oct 20, 2022, Oct 4, 2022 and 1 more (4 updates tracked since 2017).

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About App Of Illinois Ed Pllc NPPES

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

APP OF ILLINOIS ED PLLC (NPI 1053860080) is a healthcare organization registered as an emergency medicine in Waukegan, Illinois and active in the NPI registry since October 2016. The organization lists James Grimes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053860080

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameAPP OF ILLINOIS ED PLLC

Location Address1324 N SHERIDAN RDWaukegan, IL 60085-2161

Mailing Address5121 Maryland Way Ste 300Brentwood, TN 37027-7516 · (855) 246-8607 · Fax (629) 216-0568

Phone(847) 360-6930

Fax(904) 559-4370

Organization SubpartNo

Authorized OfficialJames GrimesCfo · (855) 246-8607

Enumeration DateOctober 3, 2016

Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1053860080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1324 N SHERIDAN RD, Waukegan, IL 60085

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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 MULTIPLE 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)

App Of Illinois Ed Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 91 clinicians reassign Medicare billing to App Of Illinois Ed PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine61

Nurse Practitioner16

Family Practice7

Internal Medicine6

Hospitalist1

Nearest to this location (20)

See all 91

Haili Campanella, NP

Nurse Practitioner

NPI 1184151193