Jacob H Sorensen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085011078 Issued in IL

Practice address

3201 Old Glenview Rd Ste 130
Wilmette, IL 60091-2964

Phone

(847) 673-6505

Fax

(847) 673-2099

NPI assigned

Jul 5, 2023

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.sorensen.1@3164.direct.athenahealth.com
• Direct secure messaging: jacob.sorensen.2@3164.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Chicago Surgical Oncology LLC

  • Urology Physician
  • Wilmette, IL
  • NPI 1043501448
  Medicare reassignment
• Metro Chicago Surgical Oncology LLC

  dba MCSO Diagnostic Center

  • Radiology Clinic/Center
  • Wilmette, IL
  • NPI 1629495114
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1114605748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD STE 130",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912964",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD STE 130",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912964",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JACOB",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085011078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime So, PT
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• Sofie Solomon
• Sarah Gruettner Soloveychik
• Samantha Juliet Sophiea-Fairmont, MS, CCC-SLP
• Crispin Joseph Sortino
• Speech Therapy United LLC
• Lauren Spehr, LSW
• Spinae Vitae Physical Therapy PC
• Charlotte Spiro

• Medical Physician Assistant in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.