App of Illinois Ed PLLC
NPI 1053860080 · Emergency Medicine Physician · Waukegan, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
App of Illinois Ed PLLC is a Emergency Medicine Physician organization in Waukegan, IL (NPI 1053860080).
Provider details
- NPI number
- 1053860080
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Grimes, Cfo(855) 246-8607
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-03
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is App of Illinois Ed PLLC's NPI number?
- App of Illinois Ed PLLC's National Provider Identifier (NPI) is 1053860080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is App of Illinois Ed PLLC?
- App of Illinois Ed PLLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is App of Illinois Ed PLLC located?
- App of Illinois Ed PLLC's practice location on file with NPPES is 1324 N Sheridan Rd, Waukegan, IL 60085-2161.
- What is App of Illinois Ed PLLC's phone number?
- The practice phone number listed in the NPPES registry for App of Illinois Ed PLLC is (847) 360-6930.
- Does App of Illinois Ed PLLC accept Medicare?
- App of Illinois Ed PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for App of Illinois Ed PLLC?
- The authorized official listed on App of Illinois Ed PLLC's NPPES record is James Grimes, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is App of Illinois Ed PLLC's NPI active?
- Yes — App of Illinois Ed PLLC's NPI (1053860080) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.