Individual provider · Type 1 NPI
Jacob H. Sorensen, PA-C
Medical Physician Assistant · Wilmette, IL
NPI number
1114605748
Active
Practice location
3201 Old Glenview Rd Ste 130
Wilmette, IL 60091-2964
Fax (847) 673-2099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085011078 (IL) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1114605748
Jacob H. Sorensen, PA-C's National Provider Identifier is 1114605748, issued on Jul 5, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilmette, IL. The record was last updated on Jun 26, 2025.