Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB H SORENSEN, PA-C
ActiveJACOB H SORENSEN, PA-C is a Medical Physician Assistant healthcare provider located in WILMETTE, Illinois. NPI 1114605748 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WILMETTE, IL
Registration Details
- NPI Number
- 1114605748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2023 (3.1558811062394 yrs)
- Last Updated
- Jun 26, 2025
- License
-
085011078 (IL)
Practice Information
- Address
-
3201 OLD GLENVIEW RD STE 130WILMETTE, IL, 600912964Browse IL providers · Browse ZIP 60091
- Phone
- 8476736505
- Fax
- 8476732099
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.