Individual provider Active NPI

Jakub Soltys, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1811618374
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010103 Issued in IL
Practice address
676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068
Phone
(312) 695-8182
Fax
(312) 695-4303
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 085010103 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068

Mailing address

676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068
Phone (312) 695-8182

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
I20231221003879 IL Practitioner - Physician Assistant 6305296989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Head and Neck Associates SCGroup PAC ID 6103842950, 6 clinicians

Practice addresses (Care Compare)

18210 La Grange Rd
Suite 206
Tinley Park, IL 60487-7728
Phone (630) 701-3840

3000 N Halsted St
Suite 721
Chicago, IL 60657-6185
Phone (312) 664-6715

3800 Highland Ave
Suite 105
Downers Grove, IL 60515-1558
Phone (630) 701-3840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085010103ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Apr 8, 2026 Accepting new patients

Locations

676 N Saint Clair St
Ste 1200
Chicago, IL 60611
Phone (312) 695-8182

Organizations & group practices 2

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1811618374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113068",
            "telephone_number": "312-695-8182",
            "fax_number": "312-695-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113068",
            "telephone_number": "312-695-8182",
            "fax_number": "312-695-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTYS",
        "first_name": "JAKUB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.