App of Illinois Ed Pllc

NPI #1053860080 in Waukegan, Illinois

Provider Information

NPI Number: 1053860080
Entity Type: Organization
Organization Name: App of Illinois Ed Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 3, 2016
Last Updated: Jan 26, 2023

Practice Location

Address: 1324 N SHERIDAN RD
City: Waukegan
State: Illinois
ZIP Code: 60085-2161
Phone: (847) 360-6930

Authorized Official

Name: MR. JAMES GRIMES
Title: CFO
Phone: (855) 246-8607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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