App Of Illinois Ed Pllc - Medicare Primary Care in Waukegan, IL

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App Of Illinois Ed Pllc is a medicare enrolled primary clinic (Emergency Medicine) in Waukegan, Illinois. The current practice location for App Of Illinois Ed Pllc is 1324 N Sheridan Rd, Waukegan, Illinois. For appointments, you can reach them via phone at (847) 360-6930. The mailing address for App Of Illinois Ed Pllc is 5121 Maryland Way Ste 300, Brentwood, Tennessee and phone number is (855) 246-8607.

App Of Illinois Ed Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053860080. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (847) 360-6930.

Contact Information

App Of Illinois Ed Pllc
1324 N Sheridan Rd
Waukegan
IL 60085-2161
(847) 360-6930
(904) 559-4370

Map and Direction


Primary Care Clinic Profile

Full NameApp Of Illinois Ed Pllc
SpecialityEmergency Medicine
Location1324 N Sheridan Rd, Waukegan, Illinois
Authorized Official Name and PositionJames Grimes (CFO)
Authorized Official Contact8552468607
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
App Of Illinois Ed Pllc
5121 Maryland Way Ste 300
Brentwood
TN 37027-7516

Ph: (855) 246-8607		App Of Illinois Ed Pllc
1324 N Sheridan Rd
Waukegan
IL 60085-2161

Ph: (847) 360-6930

NPI Details:

NPI Number1053860080
Provider Enumeration Date10/03/2016
Last Update Date01/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7517245384
Medicare Enrollment IDO20161028001650

Medical Identifiers

Medical identifiers for App Of Illinois Ed Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053860080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. App Of Illinois Ed Pllc acts as a billing entity for following providers:
Provider NameAyoola S Awofadeju
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760423461
PECOS PAC ID: 3870497290
Enrollment ID: I20031203000577
Provider NameNicole E Mourillon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669456018
PECOS PAC ID: 5496642621
Enrollment ID: I20040302001338
Provider NameJames Klein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578591384
PECOS PAC ID: 8820081433
Enrollment ID: I20040407001199
Provider NameBruce A Sobko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740268648
PECOS PAC ID: 4284629734
Enrollment ID: I20040415000765
Provider NameBurton S Jaffe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821048422
PECOS PAC ID: 6305832247
Enrollment ID: I20040424000058
Provider NameMablene Buggs
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821092214
PECOS PAC ID: 6709874084
Enrollment ID: I20040505000143
Provider NameRoss A Heller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083614333
PECOS PAC ID: 0547250573
Enrollment ID: I20040513000254
Provider NameJaswant S Sidhu
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548228752
PECOS PAC ID: 1759372253
Enrollment ID: I20040522000290
Provider NameCraig W Furry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609864750
PECOS PAC ID: 7810807658
Enrollment ID: I20040522000308
Provider NameChante T Trinh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093827727
PECOS PAC ID: 5698753465
Enrollment ID: I20040709000122
Provider NameDavid N Zull
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265582530
PECOS PAC ID: 1254302052
Enrollment ID: I20040804001388
Provider NameDinesh K Sharma
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649249673
PECOS PAC ID: 0648235507
Enrollment ID: I20041119001091
Provider NameChowdary Adusumilli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922030147
PECOS PAC ID: 0345135612
Enrollment ID: I20041203000102
Provider NameKent A Arnold
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982684445
PECOS PAC ID: 5597718148
Enrollment ID: I20050223000951
Provider NameTodd L Engdahl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356330005
PECOS PAC ID: 8325095862
Enrollment ID: I20050914000733
Provider NamePak K Fung
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265487870
PECOS PAC ID: 9436174422
Enrollment ID: I20051010000102
Provider NameJeffrey B Helwig
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184651085
PECOS PAC ID: 1153347216
Enrollment ID: I20051018000654
Provider NameChristie Lynn Foster
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366486235
PECOS PAC ID: 0143242883
Enrollment ID: I20051222000284
Provider NameSimone Wall Borges-young
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871554915
PECOS PAC ID: 8820002736
Enrollment ID: I20060131000286
Provider NameMichael D Scott
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790763571
PECOS PAC ID: 7214911049
Enrollment ID: I20060505000029
Provider NameRobert Vergara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174578710
PECOS PAC ID: 6305858093
Enrollment ID: I20060621000083
Provider NameCrystal S Jesenick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396831616
PECOS PAC ID: 7416953369
Enrollment ID: I20061017000103
Provider NameTzvetan Tochkov Naydenov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134141195
PECOS PAC ID: 8224035415
Enrollment ID: I20061101000115
Provider NameLea R Wrobel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588624530
PECOS PAC ID: 2062517055
Enrollment ID: I20070419000646
Provider NameManisha V Patel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114048493
PECOS PAC ID: 1557467123
Enrollment ID: I20070430000044
Provider NameJonathan S Weissler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932278389
PECOS PAC ID: 2860598299
Enrollment ID: I20070502000049
Provider NameSandra Grochowski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194776492
PECOS PAC ID: 5799797262
Enrollment ID: I20070515000644
Provider NameAhmed Nadeem
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659592624
PECOS PAC ID: 0244338424
Enrollment ID: I20070612000472
Provider NameDavid Greengart
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134172901
PECOS PAC ID: 8921021163
Enrollment ID: I20070613000384
Provider NameRachel H Mcdowell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104879071
PECOS PAC ID: 2062434533
Enrollment ID: I20070928000301
Provider NameBhupinder Singh
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1932250446
PECOS PAC ID: 7113096140
Enrollment ID: I20080516000598
Provider NameSara Ferrera
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356510788
PECOS PAC ID: 7315016938
Enrollment ID: I20080521000678
Provider NameJustin D Kriezelman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902067218
PECOS PAC ID: 2769557347
Enrollment ID: I20080815000455
Provider NameRichard Watson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962472886
PECOS PAC ID: 7113095688
Enrollment ID: I20081010000223
Provider NameCharles T Dodson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689681454
PECOS PAC ID: 3375590433
Enrollment ID: I20081114000376
Provider NameDayle V Davenport
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639338213
PECOS PAC ID: 6305909391
Enrollment ID: I20090119000003
Provider NameKristina B Passarelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942445234
PECOS PAC ID: 1355407982
Enrollment ID: I20090306000322
Provider NameHeather Ines Dieperink Optholt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831324789
PECOS PAC ID: 1355491499
Enrollment ID: I20090610000486
Provider NameClaudia Beals
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992959076
PECOS PAC ID: 2961554761
Enrollment ID: I20090708000567
Provider NameMichael A Blain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801076146
PECOS PAC ID: 6709938020
Enrollment ID: I20090717000387
Provider NameKelly Wren
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801855218
PECOS PAC ID: 3678576261
Enrollment ID: I20100415000684
Provider NameCatherine M Goodale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790938546
PECOS PAC ID: 8022149566
Enrollment ID: I20100628000901
Provider NameNishant A Pillai
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922247790
PECOS PAC ID: 0143351585
Enrollment ID: I20100628001002
Provider NameKathy L Schierbaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700906021
PECOS PAC ID: 8022201516
Enrollment ID: I20101015000966
Provider NameVikas H Patel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598756348
PECOS PAC ID: 5597951228
Enrollment ID: I20101120000053
Provider NamePeter M Mccool
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306044847
PECOS PAC ID: 3274620133
Enrollment ID: I20101129000094
Provider NameBriana N Young
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750532065
PECOS PAC ID: 6800924101
Enrollment ID: I20101216000955
Provider NameCalvin B Terrell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558347377
PECOS PAC ID: 7416146154
Enrollment ID: I20110111000284
Provider NameKimberly Orlob
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851377808
PECOS PAC ID: 7214126655
Enrollment ID: I20110114001059
Provider NameMustafa Hindi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225273915
PECOS PAC ID: 3476721705
Enrollment ID: I20110712000573
Provider NameAmber Marie Servatius
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740440312
PECOS PAC ID: 0244400430
Enrollment ID: I20110825000448
Provider NameClayborn John Morris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548575855
PECOS PAC ID: 4082882048
Enrollment ID: I20110912000101
Provider NameSydney W Schneidman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679730766
PECOS PAC ID: 2466624077
Enrollment ID: I20111004000104
Provider NameJoanne Rousseau
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891936969
PECOS PAC ID: 2961677026
Enrollment ID: I20120718000365
Provider NameRyan N Chellin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952536104
PECOS PAC ID: 2365691540
Enrollment ID: I20121003000374
Provider NameChristian Peter Badillo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770711434
PECOS PAC ID: 4880843903
Enrollment ID: I20121005000131
Provider NameWilliam Davenport
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790751691
PECOS PAC ID: 3072578756
Enrollment ID: I20130412000087
Provider NameAfshan Jehan Ahmed
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063737997
PECOS PAC ID: 3375780802
Enrollment ID: I20130430000622
Provider NameEvan Hirsch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679513733
PECOS PAC ID: 7416932132
Enrollment ID: I20140616000800
Provider NameJarrod Barker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801013164
PECOS PAC ID: 6800074956
Enrollment ID: I20150311001665
Provider NameMohammed R Jendi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528319639
PECOS PAC ID: 7517105273
Enrollment ID: I20150403000264
Provider NameRajyalakshmi Gannu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770600769
PECOS PAC ID: 8628253754
Enrollment ID: I20150515001651
Provider NameBrittni Roldan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770975393
PECOS PAC ID: 9436463981
Enrollment ID: I20150729006966
Provider NameTony V Pallan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942512827
PECOS PAC ID: 8325286693
Enrollment ID: I20150805008684
Provider NameSmita Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467707182
PECOS PAC ID: 2163736067
Enrollment ID: I20150806009896
Provider NameRitesh Panwar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588826531
PECOS PAC ID: 5799819454
Enrollment ID: I20151211001656
Provider NameRobert M Swayze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487014627
PECOS PAC ID: 9931406493
Enrollment ID: I20160328002065
Provider NameTimberly Esther Booker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487837027
PECOS PAC ID: 3678610946
Enrollment ID: I20160418001236
Provider NameRandall Grant
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528370624
PECOS PAC ID: 0840451902
Enrollment ID: I20170124001945
Provider NameScott A Bonnono
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366881971
PECOS PAC ID: 9436455193
Enrollment ID: I20170202000517
Provider NameShalako L Denison
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104111772
PECOS PAC ID: 5991010472
Enrollment ID: I20170223001989
Provider NameDavid J Kawior
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326453093
PECOS PAC ID: 3476857715
Enrollment ID: I20170227001657
Provider NameRonak Dana Hendry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902005648
PECOS PAC ID: 4981731320
Enrollment ID: I20170614002926
Provider NameHaili Campanella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184151193
PECOS PAC ID: 5294003158
Enrollment ID: I20170616002095
Provider NameElizabeth A Placzek
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730372392
PECOS PAC ID: 1759558729
Enrollment ID: I20170724002701
Provider NameNicholas Sherman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891052239
PECOS PAC ID: 3577701333
Enrollment ID: I20170821000019
Provider NameEsli Gollapalli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083813653
PECOS PAC ID: 9638225485
Enrollment ID: I20180322000893
Provider NameRobert Paul Cafe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437651072
PECOS PAC ID: 8022371590
Enrollment ID: I20180416000555
Provider NameAbdoulie Njie
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164836433
PECOS PAC ID: 7517251796
Enrollment ID: I20180719002814
Provider NameJesus Trevino
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053708016
PECOS PAC ID: 2062717952
Enrollment ID: I20180803002553
Provider NameJohn D Lund
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578977500
PECOS PAC ID: 9234490848
Enrollment ID: I20180829004131
Provider NameEugene F Delaune
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629139969
PECOS PAC ID: 5890861736
Enrollment ID: I20181009002584
Provider NameNicholas Kyle Shockley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649766288
PECOS PAC ID: 8123370509
Enrollment ID: I20181012000980
Provider NameJames R Evans
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932249521
PECOS PAC ID: 0345285854
Enrollment ID: I20181226002014
Provider NameErica Vining
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306303292
PECOS PAC ID: 5092057141
Enrollment ID: I20190422001264
Provider NameMilton A Roldan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790191385
PECOS PAC ID: 0749401206
Enrollment ID: I20190502000103
Provider NameCorbin Joseph Barwegen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518315464
PECOS PAC ID: 2163700733
Enrollment ID: I20190710000277
Provider NamePatrick Allen L Cortado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952880122
PECOS PAC ID: 0446504708
Enrollment ID: I20200214001464
Provider NameAmy Yeh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215376421
PECOS PAC ID: 7517191927
Enrollment ID: I20200511001364
Provider NameHeather R Siddons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922618313
PECOS PAC ID: 3072933225
Enrollment ID: I20201009000628
Provider NameArlyn Joy Quitevis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871158998
PECOS PAC ID: 8921428921
Enrollment ID: I20201013001505
Provider NameAlejandra Alvarez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538690789
PECOS PAC ID: 0749551547
Enrollment ID: I20210706003242
Provider NameMatthew Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962074898
PECOS PAC ID: 5395140727
Enrollment ID: I20210824002006
Provider NameOsvaldo Martinez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851882385
PECOS PAC ID: 3274939699
Enrollment ID: I20210910001452
Provider NameAaron C Love
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619962362
PECOS PAC ID: 6709815319
Enrollment ID: I20220204001468
Provider NameThomas L Schaefer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629718879
PECOS PAC ID: 0547649881
Enrollment ID: I20220616002690
Provider NameShivon Manchanda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730640905
PECOS PAC ID: 2466788468
Enrollment ID: I20220903000466

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.