Individual provider Active NPI

Molly Soraghan

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1255200812
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011762 Issued in IL
Practice address
1735 W Harrison St
Chicago, IL 60612-3818
Phone
(312) 942-6631
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.011762 IL Primary

Addresses

Primary practice location

1735 W Harrison St
Chicago, IL 60612-3818

Mailing address

1735 W Harrison St
Chicago, IL 60612-3818
Phone (312) 942-6631

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251202000159 IL Practitioner - Physician Assistant 9335632181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Pain Physicians LLCGroup PAC ID 3274851944, 9 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 550
Chicago, IL 60612-3846
Phone (312) 942-6631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.011762ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Pain Physicians LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1725 W Harrison St
Ste 550
Chicago, IL 60612
Phone (312) 942-6631

2450 Wolf Rd
Ste D
Westchester, IL 60154
Phone (708) 483-7007

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1255200812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123818",
            "telephone_number": "312-942-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123818",
            "telephone_number": "312-942-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORAGHAN",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.